2013 Volume 33 Issue 5 Pages 855-863
We studied the abdominal closure method for cases in whom open abdominal management was undertaken for the abdominal compartment syndrome. For 88 patients in whom open abdominal management was undertaken at our department of emergency and critical care medicine over the past 10 years, I examined the abdominal closure method and patient characteristics between the earlier 5-year period and latter 5-year period. In typical abdominal closure There were no significant differences in the patient characteristics between the 40 patients managed in the earlier 5-year period and 48 patients managed in the latter 5-year period. In atypical abdominal closure, free skin grafting and the bilateral anterior rectus abdominal sheath turnover flap method were performed and abdominal closure was completed after the abdominal wall was covered with granulation tissue. In the latter period, a lot of component separation methods are performed within 14 days, and the intra-abdominal pressure and peak airway pressure at abdominal closure were high however, there were few serious complications, and the prognosis was good. It was thought that the component separation method was useful to avoid rise of intra-abdominal pressure for atypical abdominal closure in the acute phase. Atypical abdominal closure taking into account the intra-abdominal pressure was effective as an abdominal closure method after open abdominal management.
