Welcome to openabdomen.org
The website provides a resource for surgeons who treat
the difficult abdomen. It is about major conditions
requireing advanced surgcial proceedures, about surgical
and non-surgical treartment options, relevant publications,
case presentations, FAQs, and propriatary information. The
goal is to improve patient care by helping surgeons
understand, utilize and explain causes leading to the need for a
PLANNED OPEN ABDOMEN
by presenting detailed surgical and non surgical treaments.
The four pictures below show an overview about management of a
planned open abdomen with the Bur Fascia Prosthesis to fascititate
reclosure and reopening of the abdomen with the lowest risk
for herna formation after final closure. The mandatory HYPOPACK
prevents exogenous contamination outside the operating room between
surgical abdominal entries and re-entries and prevents fluid spillage
into the bed.
Upper left:
Abdominal transsection showing the fascia prosthesis sutured to both fascial edges
and expanding the girth of the abdominal cavity.
The BUR is covered with gauze and sealed with a steridrape (Hypopack)
Lower right:
The fascia prosthesis exposed with the hook sheet overpaapping the loop sheet in the mdiline.
The bur is convex (protrudes) because of higher intra-abdominal pressure
Lower left:
Removig the hypopack dressing to expose both sheets of the
fascia prosthesis. The bur is convex because of higher
intra-abdominal pressure
Upper right:
Fascia Prosthesis coverd with gauze and Steridrape and
under negative pressure via adrain hooked up to a suction pump.
Essential Original Papers
Beitr Anaest Intensivmed 30(1989)199-221Word J Surg 14(1990)145-230
J Trauma 30(1990)719-723
Eurp J Surgery 159(1993)75-79
Theoretical Surgery 9(1994)201-207
Annual Meeting AAST; 2000 San Antonio
European Surgeon 32(2000)171-178
Original Fascia Prosthesis with Hypopack
Bur Prosthesis in situ and Hypopack on top Fascia Prosthesis