A burr-like device to facilitate temporary abdominal closure in planned multiple laparotomies. Eur J Surg 1993 Feb;159(2):75-9
Date
02/01/1993Pubmed ID
8098630Scopus ID
2-s2.0-0027521021 (requires institutional sign-in at Scopus site) 74 CitationsAbstract
OBJECTIVE: To describe and test a method for temporary closure of the abdomen.
DESIGN: Open laboratory and clinical studies.
SETTING: Department of Surgery, Medical College of Wisconsin, USA.
SUBJECTS: 11 patients who underwent planned relaparotomy.
MATERIAL: The burr consists of two adherent sheets of polyamide and polypropylene, which may be trimmed to accommodate any wound. One sheet consists of micro-mushrooms, the second of multiple slings. The two sheets stick to each other upon pressure and can easily be separated to open the wound.
INTERVENTION: Planned relaparotomy or staged abdominal repair.
OUTCOME MEASURES: Measurements of tensile strength and microbiological cultures.
RESULTS: The shearing force required to separate the burr is 150 +/- 27 N/5 cm2 when gas sterilized and 77 +/- 11 N/5 cm2 when used in five subsequent laparotomies. No adverse microbiological effects were seen.
CONCLUSION: The artificial burr can be used for temporary closure of the abdomen. It circumvents the problems that occur with zip fasteners, Marlex mesh, slide fasteners, and towel clips.
Author List
Wittmann DH, Aprahamian C, Bergstein JM, Edmiston CE, Frantzides CT, Quebbeman EJ, Condon REMESH terms used to index this publication - Major topics in bold
AbdomenAdhesiveness
Ascitic Fluid
Equipment Contamination
Humans
Nylons
Polypropylenes
Reoperation
Suture Techniques
Time Factors
