摘要
The visceral protective layer is a standard component of the ABTHERA<sup>TM</sup> systems for temporary abdominal closures. Nonetheless, there are circumstances where the standard, fenestrated visceral protective layer is too large to be successfully applied into every patient’s open abdomen, such as within the abdomen of a child, smaller adult or a patient with previously placed ostomies or drains. The fenestrated, visceral protective layer may require alterations or tailoring for adequate deployment instead of placing the bulk of the visceral protective layer entirely into the open abdomen for temporary abdominal closure. This case report illustrates how the visceral protective layer can be adapted or “reimagined” to conform to a patient with unique or complex abdominal domain features when utilizing the ABTHERA<sup>TM</sup> device prior to facial closure or abdominal wall reconstruction. Photographs are utilized in a step-by-step fashion to aid the clinician in these detailed maneuvers.
The visceral protective layer is a standard component of the ABTHERA<sup>TM</sup> systems for temporary abdominal closures. Nonetheless, there are circumstances where the standard, fenestrated visceral protective layer is too large to be successfully applied into every patient’s open abdomen, such as within the abdomen of a child, smaller adult or a patient with previously placed ostomies or drains. The fenestrated, visceral protective layer may require alterations or tailoring for adequate deployment instead of placing the bulk of the visceral protective layer entirely into the open abdomen for temporary abdominal closure. This case report illustrates how the visceral protective layer can be adapted or “reimagined” to conform to a patient with unique or complex abdominal domain features when utilizing the ABTHERA<sup>TM</sup> device prior to facial closure or abdominal wall reconstruction. Photographs are utilized in a step-by-step fashion to aid the clinician in these detailed maneuvers.
作者
R. Dewayne Edwards
Luis G. Fernandez
Sean O’Keefe
Michelle Baribault
Marc R. Matthews
R. Dewayne Edwards;Luis G. Fernandez;Sean O’Keefe;Michelle Baribault;Marc R. Matthews(Burn Surgery and Surgical Critical Care, The Arizona Burn Center, Phoenix, AZ, USA;Department of Surgery, University of Texas Health Science Center, Tyler, TX, USA;3M, Phoenix, AZ, USA;Mountain Vista Medical Center, Mesa, AZ, USA;The Arizona Burn Center, Phoenix, AZ, USA)
