Early definitive abdominal closure using serial closure technique on injured soldiers returning from Afghanistan and Iraq

Journal of the American College of Surgeons
Amy VertreesCraig Shriver

Abstract

Twenty-nine of 1,284 battle-injured soldiers arriving at Walter Reed Army Medical Center from Operations Enduring Freedom and Iraqi Freedom have abdominal wounds requiring delayed definitive closure with Gore-Tex (WL Gore & Assoc) mesh. Serial abdominal closure (SAC) leading to early definitive abdominal closure (EDAC) was achieved using Gore-Tex mesh. Inpatient records of Operations Enduring Freedom and Iraqi Freedom soldiers with open or reopened abdomens were reviewed from March 2003 to August 2005. Twenty-nine soldiers, average age 27 years (range 20 to 42 years) injured by secondary blast effects (n = 19); penetrating (n = 8); motor vehicle crashes (n = 1); and crushing injury (n = 1) were included in the study. Patients arrived at Walter Reed Army Medical Center 8 days (range 3 to 56 days) after injury with Gore-Tex mesh placed 6 days (range 0 to 26 days) from arrival and 14 days (range 4 to 79 days) from injury. SAC was achieved with towel clamp tightening or excision of midline mesh and drawing fascia closer to the midline for an average of 46 days (range 15 to 160 days) before EDAC. One patient is undergoing SAC and another was transferred to another facility. EDAC was achieved in 24 of the remaining of 27 patients (89...Continue Reading

References

May 1, 1989·The Journal of Trauma·H R ChampionM E Flanagan
Jan 1, 1985·The Journal of Trauma·L GreenspanH Greig
Jul 1, 1995·American Journal of Surgery·R F FanslerL M Flint
Jun 1, 1994·Annals of Surgery·T C FabianK A Kudsk
Feb 13, 2002·American Journal of Surgery·L N TremblayG S Rozycki
Dec 17, 2003·The Journal of Trauma·James W SuliburkRao R Ivatury
Jul 2, 2004·Seminars in Neurology·Kenneth A KeslerPatrick J Loehrer
Sep 29, 2004·American Journal of Surgery·Thomas R HowdieshellMichael L Hawkins
Dec 14, 2004·The New England Journal of Medicine·Atul Gawande
Feb 3, 2005·Current Problems in Surgery·Edmund J RutherfordKaren J Brasel
Jun 28, 2005·Journal of the American College of Surgeons·Sean P MontgomeryCraig D Shriver
Nov 29, 2005·Journal of the American College of Surgeons·L Scott Ennis

❮ Previous
Next ❯

Citations

Aug 13, 2008·The Journal of Trauma·Jordan A WeinbergLoring W Rue
Nov 8, 2013·Gastroenterology Research and Practice·Yujie YuanYulong He
May 7, 2014·Surgical Infections·Stefano RauseiRenzo Dionigi
Apr 1, 2014·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·L Kobayashi, R Coimbra
Aug 19, 2011·World Journal of Surgery·Justin L RegnerRaul Coimbra
Jul 14, 2009·The Journal of Surgical Research·Fernando JoglarPablo Rodríguez
Feb 3, 2009·Journal of the American College of Surgeons·Amy VertreesCraig Shriver
Oct 24, 2007·The Journal of Surgical Research·Thomas W GilbertStephen F Badylak
Jun 12, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A Robin-LersundiM A García-Ureña
Aug 2, 2014·Hernia : the Journal of Hernias and Abdominal Wall Surgery·William C ColeLisa M Pierce
Dec 18, 2013·World Journal of Emergency Surgery : WJES·Laura GodatRaul Coimbra
Jul 11, 2012·Journal of Burn Care & Research : Official Publication of the American Burn Association·Mark O HardinChristopher E White
Feb 9, 2012·The Journal of Trauma and Acute Care Surgery·Clay Cothren BurlewCarlton C Barnett
Apr 26, 2020·The Journal of Trauma and Acute Care Surgery·Richard H LewisLouis J Magnotti
Sep 4, 2013·Journal of Biomedical Materials Research. Part B, Applied Biomaterials·Rubén García-PumarinoJuan Manuel Bellón
Feb 13, 2008·Scandinavian Journal of Surgery : SJS : Official Organ for the Finnish Surgical Society and the Scandinavian Surgical Society·H P BeckerR Schwab
Sep 26, 2015·The Journal of Trauma and Acute Care Surgery·Jacob GlaserCarlos Rodriguez

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.