Temporary closure of the abdominal wall by use of silicone rubber sheets after operative repair of ruptured abdominal aortic aneurysms Donald L. Akers,

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Presentation transcript:

Temporary closure of the abdominal wall by use of silicone rubber sheets after operative repair of ruptured abdominal aortic aneurysms Donald L. Akers, MD, Richard J. Fowl, MD, Richard F. Kempczinski, MD, Kenneth Davis, MD, James M. Hurst, MD, Sandra Uhl, RN Journal of Vascular Surgery Volume 14, Issue 1, Pages 48-52 (July 1991) DOI: 10.1016/0741-5214(91)90153-L Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 1 The relationship between peak inspiratory pressure (PIP), intraabdominal pressure (IAP), central venous pressure (CVP), and urinary output (UOP) over time in two patients with primary abdominal wound closure. A marked increase in PIP, IAP, and CVP and a decrease in UOP are seen initially. When the abdomen was opened and the silicone mesh sheet was inserted, these parameters normalized rapidly. Journal of Vascular Surgery 1991 14, 48-52DOI: (10.1016/0741-5214(91)90153-L) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions

Fig. 2 Closure of the abdomen with a silicone rubber sheet (left). The silicone rubber sheet is sutured to the abdominal wall fascia with a continuous 0-polypropylene suture. A silicone rubber sheet in place in a patient after repair of a ruptured abdominal aortic aneurysm (right). The wound was then packed with sterile saline-soaked gauze. Journal of Vascular Surgery 1991 14, 48-52DOI: (10.1016/0741-5214(91)90153-L) Copyright © 1991 Society for Vascular Surgery and International Society for Cardiovascular Surgery, North American Chapter Terms and Conditions