Abdominal wall closure with ePTFE--Goretex Dual Mesh after detensive laparotomy for abdominal compartment syndrome
Daniele Gui1, Pier Luigi Spada, Massimo Di Mugno
1Clinica Chirurgica, Università Cattolica del Sacro Cuore, Policlinico A. Gemelli, Roma. daniele.g@iol.it
Introduction:
Detensive laparotomy is the first choice treatment for abdominal compartment syndrome (ACS). Tension free closure of the abdominal wall with the use of prosthesis is a broadly diffused technique; the polypropylene and the ePTFE (expanded polytetrafluoroethylene--Goretex Dual Mesh) are the most commonly used materials.
Materials And Methods:
We report our experience on five patients affected by ACS submitted to detensive laparotomy and positioning of a wide Goretex Dual Mesh prosthesis.
Results:
In our initial experience ACS has been treated with success through detensive laparotomy and there were no complications related to the use of Goretex.
Discussion:
Even though limited, our initial clinical experience is favorable to the use of Goretex Dual Mesh as first choice material for reconstruction of the abdominal wall after detensive laparotomy for ACS.
