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Updated: Jan 26, 2026

Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
Published on: May 10, 2024
Novel method for delayed primary closure and incisional hernia prevention in open abdomen: COmbined and MOdified
R Villalobos Mori1, Y Maestre González2, Mª Mias Carballal2
1Abdominal Wall Surgery Unit, General Surgery Department, Arnau de Vilanova University Hospital, Lleida University, 80 Rovira Roure Avenue, 25198, Lleida, Catalonia, Spain. rafovilla26@gmail.com.
Background:
Intended open abdomen is an option in cases of trauma and non-trauma patients. Nevertheless, after primary closure, incisional hernia rate is high. We describe a novel method, called COmbined and MOdified Definitive Abdominal closure (COMODA), a delayed primary closure which prevents incisional hernia.
Methods:
A negative pressure wound therapy system is combined with a condensed polytetrafluoroethylene (cPTFE) mesh.
Trial Registration:
ISRCTN72678033.
Results:
Ten male patients with a median age of 68.8 (43-87) years were included. Primary closure rate was 100% per protocol. The median number of procedures per patient was 5.7 (5-9). Primary closure was obtained in 20.8 (10-32) days and median hospital stay was 36.3 (18-52) days. Only one patient developed incisional hernia during a median follow-up of 27 (8-60) months.
Conclusion:
COMODA method allows for a high rate of delayed primary closure. It is safe and decreases the risk for developing an incisional hernia. However, a large number of patients are needed to support this conclusion.
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05:15Application of a New Mesh Fixation Method in Laparoscopic Incisional Hernia Repair
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