Title |
Prevention of Incisional Hernias after Open Abdomen Treatment
|
---|---|
Published in |
Frontiers in Surgery, February 2018
|
DOI | 10.3389/fsurg.2018.00011 |
Pubmed ID | |
Authors |
Frederik Berrevoet |
Abstract |
Management of a patient with an open abdomen is difficult, and the primary closure of the fascial edges is essential to obtain the best patient outcome, regardless of the initial etiology of the open abdomen. The use of temporary abdominal closure devices is nowadays the gold standard to have the highest closure rates with mesh-mediated fascial traction as the proposed standard of care. However, the incidence of incisional hernias, although much more controlled than when leaving an abdomen open, is high and reaches up to 65%. As shown for other high-risk patient subgroups, such as obese patients, patients with an abdominal aneurysm, and patients with former -ostomy sites, the prevention of incisional hernias might be key to further optimize patient outcomes after open abdomen treatment. In this overview, current available modalities to decrease the incidence of incisional hernia are discussed. Most of these preventive options have been shown effective in giant ventral hernia repair and might work effectively in this patient cohort with open abdomen as well. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 3 | 21% |
Spain | 2 | 14% |
Turkey | 2 | 14% |
Colombia | 1 | 7% |
Switzerland | 1 | 7% |
Unknown | 5 | 36% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 7 | 50% |
Practitioners (doctors, other healthcare professionals) | 4 | 29% |
Science communicators (journalists, bloggers, editors) | 3 | 21% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 86 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Other | 11 | 13% |
Student > Bachelor | 11 | 13% |
Student > Postgraduate | 9 | 10% |
Researcher | 8 | 9% |
Student > Master | 5 | 6% |
Other | 12 | 14% |
Unknown | 30 | 35% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 44 | 51% |
Nursing and Health Professions | 2 | 2% |
Arts and Humanities | 1 | 1% |
Biochemistry, Genetics and Molecular Biology | 1 | 1% |
Mathematics | 1 | 1% |
Other | 2 | 2% |
Unknown | 35 | 41% |