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Related Experiment Video

Updated: Feb 13, 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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A Novel Closure Technique for Complex Abdominal Wounds.

H Hande Aydinli1,2, Colin Peirce2, Erman Aytac2

  • 1Department of Surgery, Division of Colon and Rectal Surgery, New York University Langone Health, New York, New York.

Diseases of the Colon and Rectum
|March 10, 2018
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Summary

This study presents a novel abdominal wound closure technique for patients with complex surgical histories and sepsis. The method is safe and effective, enabling primary wound healing after colorectal surgery.

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Area of Science:

  • Surgical techniques
  • Abdominal surgery
  • Colorectal surgery

Background:

  • Abdominal wound closure is challenging in patients with multiple prior abdominopelvic operations.
  • Loss of abdominal fascia domain and intra-abdominal sepsis increase surgical risks.
  • A novel technique is proposed for complex abdominal wound closure in these high-risk patients.

Purpose of the Study:

  • To describe and evaluate a new technique for abdominal wound closure.
  • To address challenges in patients with extensive surgical histories and sepsis.
  • To achieve primary intention healing in complex abdominal wounds.

Main Methods:

  • Mobilization of fascial edges for skin closure.
  • Vertical mattress technique using 1.0 Prolene stitch with incorporated dental rolls.
  • No mesh utilized; closure results in a ventral hernia.

Main Results:

  • Successful short-term and long-term outcomes in 14 patients.
  • Two patients required late intervention for hernia incarceration (34 and 120 months).
  • The technique achieved healthy abdominal wall closure and primary intention healing.

Conclusions:

  • Complex abdominal wound closure using this technique is safe and feasible.
  • It enables primary intention healing after colorectal surgery in challenging cases.
  • The method provides a viable solution for patients with extensive surgical histories and sepsis.