Serial abdominal closure with Gore-tex mesh and Rives-Stoppa for an open abdomen secondary to intra-abdominal hypertension in burns

Abstract

Intra-abdominal hypertension (IAH) leading to abdominal compartment syndrome (ACS) commonly occurs in major burns. To relieve the excess pressure, decompressive laparotomy is done which can lead to an open abdomen. Closure of the abdomen after a decompressive laparotomy is very difficult with bowel oedema. We describe our technique of closing the open abdomen in such situations with a combination of serial abdominal wall closure with a layered mesh and the Rives-Stoppa component separation technique.

Keywords

• abdominal compartment syndrome
• abdominal hypertension
• bogota
• burn abdomen
• component separation
• goretex mesh
• intra-abdominal hypertension
• mesh repair
• open abdomen
• postburn
• rives-stoppa
• ptfe mesh
• polytetrafluoroethylene