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Related Concept Videos

Ostomy Care01:24

Ostomy Care

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Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
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Tracheostomy Decannulation01:21

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Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
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Related Experiment Video

Updated: Apr 3, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
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Delayed primary closure in open abdomen with stoma using dynamic closure system.

Juan Manuel Suarez-Grau1, Juan Francisco Guadalajara Jurado1, Julio Gómez Menchero1

  • 1General Hospital of Riotinto, Minas de Riotinto, Huelva, Spain.

Springerplus
|September 26, 2015
PubMed
Summary

Delayed primary closure using the ABRA system effectively manages the open abdomen in cases of colonic perforation sepsis. This dynamic traction method aids abdominal wall closure and prevents complications, showing excellent long-term results.

Keywords:
ABRAAbdominal wallClosureCompartimental syndromeOpen abdomenSurgeryVAC

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Area of Science:

  • Surgical Innovation
  • Abdominal Wall Reconstruction
  • Critical Care

Background:

  • Open abdomen (OA) management is crucial following colonic perforation and sepsis.
  • Complications of the abdominal wall require careful management in OA cases.
  • Delayed primary closure with dynamic traction is an emerging OA treatment.

Purpose of the Study:

  • To present a case of successful delayed primary closure of the open abdomen.
  • To evaluate the efficacy of the ABRA system in abdominal wall reconstruction.
  • To highlight a novel approach for managing complex OA cases.

Main Methods:

  • A 50-year-old female patient with malnutrition and COPD presented with OA post-sepsis.
  • Previous interventions included right colectomy, ileostomy, and Bogotá bag placement.
  • The ABRA system was applied for dynamic delayed primary closure six days after the Bogotá bag.

Main Results:

  • The ABRA system facilitated delayed primary closure of the abdominal wall.
  • Excellent results were observed in maintaining abdominal wall integrity.
  • The patient achieved final abdominal closure 16 days after ABRA system placement.

Conclusions:

  • The ABRA system enables delayed primary closure for open abdomens resulting from colonic perforation sepsis.
  • This dynamic closure technique proved effective, even with a concurrent stoma.
  • Long-term follow-up showed no abdominal wall alterations after 3 years.