Use of absorbable mesh as an XXXX in abdominal wall closure in the emergent setting.

@entity1 @entity6177 @entity281 @entity1320 @entity3224 @entity6783 @entity952 @entity393 @entity130
A surgeon has many options available to @entity3224 in the closure of abdominal wall defects in the elective setting. In the emergent setting, active @entity281 or contamination increases the likelihood of @entity281 of permanent prosthetic material and limits the surgical options. In such settings, we have used absorbable mesh (Dexon) as an adjunct to fascial closure until the acute complications resolve. To evaluate the effectiveness of this technique, we reviewed the outcome of such closures in 26 critically ill @entity1 . Between July 1987 and June 1993, 26 @entity1 were identified who had placement of absorbable mesh as part of an emergent laparotomy at a major urban @entity130 center. Through a retrospective chart review, the incidence of complications and outcome of the closure were tabulated. Seven @entity1 were initially operated on for @entity130 . Two of the @entity1 had mesh placement at their initial procedure secondary to @entity393 from @entity130 . The remainder of the @entity1 hd mesh placement during a subsequent laparotomy for complications related to their initial procedure. Indications for these laparotomies included combinations of wound @entity6783 , @entity6177 , @entity952 , and perforation. Mesh placement in @entity1 with @entity1320 created effectively open abdominal wounds that allowed continued abdominal drainage, but required extensive wound care. Despite the absorbable nature of the mesh and often prolonged hospital stay in these ill @entity1 , none of them required reoperation for @entity6783 , recurrence of @entity6177 , or @entity281 of the mesh.(ABSTRACT TRUNCATED AT 250 WORDS)
