scholarly journals A New Device for Measuring Abdominal Wall Tension and Its Value in Screening Abdominal Infection

2021 ◽  
Vol Volume 14 ◽  
pp. 119-131
Author(s):  
Hao Tang ◽  
Dong Liu ◽  
Yong Guo ◽  
Huayu Zhang ◽  
Yang Li ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Wall Tension ◽  
New Device ◽  
Abdominal Infection

scholarly journals Intra-abdominal pressure correlates with abdominal wall tension during clinical evaluation tests

2021 ◽  
pp. 105426
Author(s):  
Jakub Novak ◽  
Jakub Jacisko ◽  
Andrew Busch ◽  
Pavel Cerny ◽  
Martin Stribrny ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Clinical Evaluation ◽  
Abdominal Pressure ◽  
Wall Tension

ISOFLURANE REDUCES ABDOMINAL WALL TENSION INDEPENDENT OF ITS EFFECT ON NEUROMUSCULAR BLOCKADE

1986 ◽  
Vol 65 (Supplement 3A) ◽  
pp. A351 ◽  
Author(s):  
L M Ensalada ◽  
S Muravchick ◽  
S Weber ◽  
E F Rosato ◽  
S P DeFeo
Keyword(s):  
Abdominal Wall ◽  
Neuromuscular Blockade ◽  
Wall Tension

scholarly journals Noninvasive Assessment of Intra-Abdominal Pressure by Measurement of Abdominal Wall Tension

2011 ◽  
Vol 171 (1) ◽  
pp. 240-244 ◽  
Author(s):  
Gabriëlle H. van Ramshorst ◽  
Mahdi Salih ◽  
Wim C.J. Hop ◽  
Oscar J. F. van Waes ◽  
Gert-Jan Kleinrensink ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Abdominal Pressure ◽  
Wall Tension ◽  
Noninvasive Assessment

scholarly journals Successful Use of Negative Pressure Wound Therapy for Abdominal Wall Necrosis Caused by a Perforated Ascending Colon Using the ABThera System

2020 ◽  
Vol 2020 ◽  
pp. 1-7
Author(s):  
Kouki Imaoka ◽  
Takuya Yano ◽  
Yasuhiro Choda ◽  
Ko Oshita ◽  
Yuma Tani ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Open Abdomen ◽  
Anterolateral Thigh Flap ◽  
Temporary Abdominal Closure ◽  
Ascending Colon ◽  
Wound Therapy ◽  
Pressure Therapy ◽  
New Device

Background. The practice of leaving the abdomen open after an emergency laparotomy has gained increasing popularity recently. Negative pressure wound therapy (NPWT) is known as an effective technique in the management of an open abdomen (OA). A new device, the ABThera™ Open Abdomen Negative Pressure Therapy System (KCI USA, San Antonio, TX, USA), was specifically designed to achieve a temporary abdominal closure (TAC) in the management of an OA. This study was aimed at presenting a successful experience of treating a case of abdominal wall necrosis caused by a perforated ascending colon using the ABThera System. Case Presentation. A 66-year-old man was admitted to our hospital with complaints of severe pain in the abdomen. On admission, abdominal contrast-enhanced computed tomography (CT) showed fluid collection, an air pocket in the subcutaneous fat layer of the abdominal wall, and edematous changes in the adipose tissue in the peritoneum and abdominal wall. Based on a diagnosis of peritonitis resulting from a perforated ascending colon, emergency surgery was performed. A right hemicolectomy, ileostomy construction, and debridement of the necrotic tissues were performed. However, necrotizing fasciitis rapidly spread; therefore, more necrotic tissue was debrided in a second operation. The abdominal wall defect was left open, and the ABThera System was used in the management of the OA; this device promoted wound healing. A reduction was observed in the size of the open wound with visible granulation tissue. The defect was finally covered with a mesh split-thickness skin graft and anterolateral thigh flap. Conclusions. In the management of a case of a massive wound with infection, it can be of great benefit to treat the wound with NPWT initially to decrease its size. The ABThera System could facilitate early and safe management of an OA by surgeons.

ABDOMINAL WALL TENSION DECREASES WITH TIME DESPITE CONSTANT LEVELS OK NEUROMUSCULAR BLOCKADE

1987 ◽  
Vol 67 (3) ◽  
pp. A431-A431 ◽  
Author(s):  
L M Ensalada ◽  
S Muravchick ◽  
F. F Rosato ◽  
S P DeFeo ◽  
S Weber
Keyword(s):  
Abdominal Wall ◽  
Neuromuscular Blockade ◽  
Wall Tension

Independent Predictors for Surgical Site Infections in Patients Undergoing Complex Abdominal Wall Reconstruction

2021 ◽  
Author(s):  
Matthew McGuirk ◽  
Agon Kajmolli ◽  
Mahir Gachabayov ◽  
Abbas Smiley ◽  
David Samson ◽  
...  
Keyword(s):  
Abdominal Wall ◽  
Regression Models ◽  
Care Center ◽  
Abdominal Wall Reconstruction ◽  
Surgical Site Infections ◽  
Common Procedure ◽  
Abdominal Infection ◽  
History Of ◽  
Multivariable Regression ◽  
Abdominal Infections

Introduction: Complex abdominal wall reconstruction (CAWR) in patients with large abdominal defects have become a common procedure. The aim of this study was to identify independent predictors of surgical site infections (SSI) in patients undergoing CAWR. Materials and Methods: This was an ambidirectional cohort study of 240 patients who underwent CAWR with biologic mesh between 2012 and 2020 at an academic tertiary/quaternary care center. Prior superficial SSI, deep SSI, organ space infections, enterocutaneous fistulae, and combined abdominal infections were defined as prior abdominal infections. Univariable and multivariable logistic regression models were performed to determine independent risk factors for SSI. Results: There were a total of 39 wound infections, with an infection rate of 16.3%. Forty percent of patients who underwent CAWR in this study had a history of prior abdominal infections. In the multivariable regression models not weighted for length of stay (LOS), prior abdominal infection (odds ratio [OR]: 2.49, p=0.013) and higher body mass index (BMI) (OR: 1.05, p=0.023) were independent predictors of SSI. In the multivariable regression model weighted for LOS, prior abdominal infection (OR: 2.2, p=0.034), higher BMI (OR: 1.05, p=0.024), and LOS (OR: 1.04, p=0.043) were independent predictors of SSI. Conclusion: The history of prior abdominal infections, higher BMI, and increased LOS are important independent predictor of SSI following CAWR.

A new device to non invasively measure variceal wall tension and variceal volume

2003 ◽  
Vol 124 (4) ◽  
pp. A664
Author(s):  
Vinod K. Thangada ◽  
Elan Miller ◽  
Qing Dai ◽  
Beje Thomas ◽  
Naji Ahmed ◽  
...  
Keyword(s):  
Wall Tension ◽  
New Device

scholarly journals New non-invasive device to promote primary closure of the fascia and prevent loss of domain in the open abdomen: a pilot study

2020 ◽  
Vol 5 (1) ◽  
pp. e000523
Author(s):  
Joao Baptista Rezende-Neto ◽  
Bruna Gewehr Camilotti
Keyword(s):  
Abdominal Wall ◽  
Negative Pressure ◽  
Primary Closure ◽  
Fascial Closure ◽  
Control Group ◽  
Negative Pressure Therapy ◽  
Pressure Therapy ◽  
New Device ◽  
Non Invasive ◽  
Invasive Device

BackgroundPrimary closure of the fascia at the conclusion of a stage laparotomy can be a challenging task. Current techniques to medialize the fascial edges in open abdomens entail several trips to the operating room and could result in fascial damage. We conducted a pilot study to investigate a novel non-invasive device for gradual reapproximation of the abdominal wall fascia in the open abdomen.MethodsMechanically ventilated patients ≥16 years of age with the abdominal fascia deliberately left open after a midline laparotomy for trauma and acute care surgery were randomized into two groups. Control group patients underwent standard care with negative pressure therapy only. Device group patients were treated with negative pressure therapy in conjunction with the new device for fascial reapproximation. Exclusion criteria: pregnancy, traumatic hernias, pre-existing ventral hernias, burns, and body mass index ≥40 kg/m2. The primary outcome was successful fascial closure by direct suture of the fascia without mesh or component separation. Secondary outcomes were abdominal wall complications.ResultsThirty-eight patients were investigated, 20 in the device group and 18 in the control group. Primary closure of the fascia by direct suture without mesh or component separation was achieved in 17 patients (85%) in the device group and only 10 patients (55.6%) in the control group (p=0.0457). Device group patients were 53% more likely to experience primary fascial closure by direct suture than control group patients. Device group showed gradual reduction (p<0.005) in the size of the fascial defects; not seen in control group. There were no complications related to the device.ConclusionsThe new device applied externally on the abdominal wall promoted reapproximation of the fascia in the midline, preserved the integrity of the fascia, and improved primary fascial closure rate compared with negative pressure therapy system only.Level of evidenceI, randomized controlled trial.

Rationale and Technique for Measuring Abdominal Wall Tension in Hernia Repair

2018 ◽  
Vol 84 (9) ◽  
pp. 1446-1449 ◽  
Author(s):  
William W. Hope ◽  
Zachary F. Williams ◽  
James W. Rawles ◽  
W. Borden Hooks ◽  
Thomas V. Clancy ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Abdominal Wall ◽  
Linear Regression Analysis ◽  
Prospective Trial ◽  
Multiple Linear Regression Analysis ◽  
Wall Tension ◽  
Hernia Surgery ◽  
Hernia Defect ◽  
Institutional Review ◽  
Average Patient

We describe a method to measure abdominal wall tension during hernia surgery and evaluate a possible correlation between hernia defect width and abdominal wall tension. After Institutional Review Board approval and informed consent, a prospective trial to measure intra-abdominal tension was undertaken (May 2013 through March 2017). Tension measurements were obtained using tensiometers. Total tension, hernia defect width, and surgeon's estimation of tension were recorded. Correlation between defect width and total abdominal wall tension was assessed using multivariate analysis and a multiple linear regression analysis. An r-squared value > 0.6 was considered significant. Fifty-nine patients underwent hernia repair with concomitant tension measurements obtained at surgery. The average patient age was 61 years (range 29–81 years), 85 per cent were white, and 56 per cent female. The average total tension was 6.7 pounds (range 0.2–22 pounds) and average defect width was 8.6 cm (range 2–25 cm). The surgeon rated the fascia to be excellent in 15 per cent, good in 58 per cent, and fair in 27 per cent. The average estimation of tension by the surgeon was 5 pounds (range 2–10 pounds). We found no correlation between hernia defect size and total abdominal wall tension and no correlation between the surgeon-estimated tension and objectively measured tension. We found no correlation between the width of the hernia defect and tension associated with approximating the midline. Further study regarding the practicality and usefulness of abdominal wall tension measurements during hernia surgery is needed.

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