[Abdominal catastrophe--abdominal wall defect associated with XXXX --strategy of therapy].

@entity1 @entity1661 @entity292 @entity344
BACKGROUND: Wound dehiscence complicated by gastrointestinal (GI) @entity292 to belong ,, @entity1661 ". Therapy is prolonged and connected with high morbidity and mortality rate. METHODS: In the period from October 2006 to July 2009 we performed 12 reconstructive surgical procedures on gastrointestinal tract in @entity1 with @entity1661 . Treatment of 12 consecutive @entity1 (9 @entity1 , 3 @entity1 ) was managed according to a standardize protocol. The protocol consists of treatment of septic complications, optimisation of nutritional state, special wound procedures, diagnosis of @entity344 and GI tract, timing of surgical procedures, reconstruction of GI tract and postoperative care. RESULTS: Reconstructive surgery of GI tract was successful on 11 @entity1 . One @entity1 developed recurrence of @entity344 . In four @entity1 we let open abdomen to heal per secundam. We observed no deaths after operation. CONCLUSION: With regard to complex character of therapy of @entity1661 there is a need of multidisciplinary approach. Considering long-lasting and expensive therapy there is logical step to concentrate these @entity1 into special centres which are experienced, equipped and their staff is trained in treatment of such a seriously impaired @entity1 .
