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AORN Journal May 2021
Topics: Abdomen; Abdomen, Acute; Abdominal Cavity; Humans
PubMed: 33929744
DOI: 10.1002/aorn.13407 -
Revista Espanola de Medicina Nuclear 2008
Review
Topics: Abdomen; Abdominal Cavity; Digestive System; Female; Humans; Male; Pelvis; Radiography, Abdominal; Retroperitoneal Space; Tomography, X-Ray Computed
PubMed: 18208783
DOI: 10.1157/13114371 -
International Wound Journal Aug 2012The management of complex abdominal problems with the 'open abdomen' (OA) technique has become a routine procedure in surgery. The number of cases treated with an OA has... (Review)
Review
The management of complex abdominal problems with the 'open abdomen' (OA) technique has become a routine procedure in surgery. The number of cases treated with an OA has increased dramatically because of the popularisation of damage control for life-threatening conditions, recognition and treatment of intra-abdominal hypertension and abdominal compartment syndrome and new evidence regarding the management of severe intra-abdominal sepsis. Although OA has saved numerous lives and has addressed many problems related to the primary pathology, this technique is also associated with serious complications. New knowledge about the pathophysiology of the OA and the development of new technologies for temporary abdominal wall closure (e.g. ABThera™ Open Abdomen Negative Pressure Therapy; KCI USA Inc., San Antonio, TX) has helped improve the management and outcomes of these patients. This review will merge expert physician opinion with scientific evidence regarding the total management of the OA.
Topics: Abdominal Cavity; Abdominal Wound Closure Techniques; Humans; Negative-Pressure Wound Therapy
PubMed: 22727136
DOI: 10.1111/j.1742-481X.2012.01018.x -
Zhonghua Wei Chang Wai Ke Za Zhi =... Sep 2023The protection of open abdomen (OA) wound is a significant subject in the field of trauma surgery. The key technical challenge in the early stage of OA wound management... (Review)
Review
The protection of open abdomen (OA) wound is a significant subject in the field of trauma surgery. The key technical challenge in the early stage of OA wound management involves promoting granulation tissue filling between intestinal segments, reducing intestinal wall abrasion, and preventing the development of enteroatmospheric fistulas (EAF). Hydrogels, characterized by their high water content and exceptional biocompatibility, serve as extracellular matrix-mimicking materials, and are extensively employed in various medical and healthcare applications. In this review, we discuss the application of hydrogel developed by natural biomaterials in OA wounds protection, taking into consideration the unique pathophysiological characteristics of the OA wounds. This review aims to provide valuable insights for the development of hydrogel materials for early-stage OA wound protection in future research.
Topics: Humans; Hydrogels; Abdominal Cavity; Abdomen; Biocompatible Materials
PubMed: 37709703
DOI: 10.3760/cma.j.cn441530-441530-20230613-00202 -
American Journal of Surgery May 2018
Topics: Abdomen; Abdominal Cavity; Liver Transplantation
PubMed: 29563022
DOI: 10.1016/j.amjsurg.2017.11.070 -
RoFo : Fortschritte Auf Dem Gebiete Der... Oct 2023
Topics: Abdomen; Abdominal Cavity
PubMed: 37793383
DOI: 10.1055/a-2101-8973 -
The Journal of Surgical Research Oct 2022Negative pressure wound therapy (NPWT) is commonly used in open abdomen management, where there may be a simultaneous need for prevention of abdominal hypertension,...
INTRODUCTION
Negative pressure wound therapy (NPWT) is commonly used in open abdomen management, where there may be a simultaneous need for prevention of abdominal hypertension, tamponade of hemorrhage, and continuous fascial tension. The regional pressure dynamics of vacuum dressings are poorly understood.
METHODS
Three duroc swine underwent mid-line laparotomy and application of vacuum open abdomen dressing, with and without sponge packing. Twenty-five catheters were placed throughout the abdomen to capture and record pressures in each quadrant as the vacuum system was ranged between (-75 mmHg to -200 mmHg pressure). Vital signs and ventilator pressures were measured and recorded concomitantly.
RESULTS
No variations in ventilatory pressures or vital signs were observed with any setting. NPWT changed pressure in seven of seventy-five catheters (9%), five of which were related to abdominal packing. When data were grouped into abdominal wall, perihepatic, perisplenic, and deep abdominal regions, there was no significant change in abdominal pressure when packing was absent. With packing, only the abdominal wall region showed a pressure change, reaching a maximum of 20% of the set vacuum pressure.
CONCLUSIONS
NPWT does only little to change the intraabdominal pressure, except in superficial locations in packed abdomens and does not appear to cause hemodynamic changes in a porcine open abdomen model. While NPWT may play an important role in fluid scavenging and fascial tensioning, there are likely to be few benefits or drawbacks specifically related to negative abdominal pressure in the deep abdomen.
Topics: Abdomen; Abdominal Cavity; Abdominal Wall; Abdominal Wound Closure Techniques; Animals; Bandages; Laparotomy; Negative-Pressure Wound Therapy; Swine
PubMed: 35597024
DOI: 10.1016/j.jss.2022.04.019 -
Radiographics : a Review Publication of... 2021Cystic lesions found in and around the peritoneal cavity can often be challenging to diagnose owing to significant overlap in imaging appearance between the different...
Cystic lesions found in and around the peritoneal cavity can often be challenging to diagnose owing to significant overlap in imaging appearance between the different entities. When the cystic lesion can be recognized to arise from one of the solid abdominal organs, the differential considerations can be more straightforward; however, many cystic lesions, particularly when large, cannot be clearly associated with one of the solid organs. Cystic lesions arising from the mesentery and peritoneum are less commonly encountered and can be caused by relatively rare entities or by a variant appearance of less-rare entities. The authors provide an overview of the classification of cystic and cystic-appearing lesions and the basic imaging principles in evaluating them, followed by a summary of the clinical, radiologic, and pathologic features of various cystic and cystic-appearing lesions found in and around the peritoneal cavity, organized by site of origin. Emphasis is given to lesions arising from the mesentery, peritoneum, or gastrointestinal tract. Cystic lesions arising from the liver, spleen, gallbladder, pancreas, urachus, adnexa, or soft tissue are briefly discussed and illustrated with cases to demonstrate the overlap in imaging appearance with mesenteric and peritoneal cystic lesions. When approaching a cystic lesion, the key imaging features to assess include cyst content, locularity, wall thickness, and presence of internal septa, solid components, calcifications, or any associated enhancement. While definitive diagnosis is not always possible with imaging, careful assessment of the imaging appearance, location, and relationship to adjacent structures can help narrow the differential diagnosis. RSNA, 2021.
Topics: Abdominal Cavity; Cysts; Diagnosis, Differential; Humans; Mesentery; Pelvis; Peritoneum
PubMed: 34469214
DOI: 10.1148/rg.2021200207 -
The Journal of the Albert Einstein... Apr 1964
Topics: Abdomen; Abdomen, Acute; Abdominal Cavity; Diagnosis; Surgical Procedures, Operative
PubMed: 14142968
DOI: No ID Found -
Journal of Ultrasound in Medicine :... Apr 2022
Topics: Abdomen; Abdominal Cavity; Humans; Ultrasonography
PubMed: 34792206
DOI: 10.1002/jum.15874