Copyright ©2013 Baishideng Publishing Group Co.
World J Gastrointest Surg. Dec 27, 2013; 5(12): 314-320
Published online Dec 27, 2013. doi: 10.4240/wjgs.v5.i12.314
Table 2 Groups and therapeutic options in incomplete (intact skin) unintentional acute postoperative open abdominal wall
Clinical/therapeuticscenarioIntestinal fistulaNon-adherentbowel loopsFree innerabdominal wallWindow2-3 wkWindow> 2-3 wkTherapeutic option
2NoYesYesYes Early definitive closure-Fascia to fascia closure, 4:1 No retention sutures Mesh depending contamination Biologics doubtful
3NoPartiallyPartiallyYes definitive early progressive closure-Vacuum-assisted wound closure and mesh traction Or dynamic wound closure systems
4NoNo “Frozen abdomen”No “Frozen abdomen”Yes Delayed closureAbdominal girdles Planned incisional hernia repair
6 High surgical risk-----Abdominal girdle