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Airway management is a key skill in emergency and critical care settings, as maintaining a clear airway is essential for adequate oxygenation and ventilation.Head Tilt-Chin Lift TechniqueThe head tilt-chin lift maneuver is an essential technique primarily used in patients without suspected cervical spine injuries. To perform this maneuver, one hand is placed on the patient’s forehead, and gentle pressure is applied backward to tilt the head. The fingertips of the other hand are positioned...
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Related Experiment Video

Updated: Oct 5, 2025

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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[Strategies for open abdomen].

Thomas Korgaard Jensen1, Jakob Burcharth1

  • 1Afdelingen for Mave-, Tarm- og Leverlidelser, Københavns Universitetshospital - Herlev Hospital.

Ugeskrift for Laeger
|January 28, 2022
PubMed
Summary

Temporary abdominal closure (TAC) is essential when definitive surgery isn't possible. Vacuum-assisted closure (VAC) is the preferred TAC method, though all strategies increase surgical procedures and complications.

Area of Science:

  • Abdominal Surgery
  • Critical Care Medicine
  • Surgical Techniques

Background:

  • Definitive abdominal closure is not always feasible during surgery.
  • Temporary abdominal closure (TAC) is required in specific clinical scenarios.
  • Indications include physiological instability, planned re-operations, or primary fascial closure challenges.

Purpose of the Study:

  • To review current temporary abdominal closure (TAC) strategies.
  • To evaluate the efficacy and limitations of different TAC methods.
  • To provide guidance on the optimal use of TAC.

Main Methods:

  • Literature review of temporary abdominal closure techniques.
  • Analysis of indications, methods, and outcomes of TAC.
  • Focus on vacuum-assisted closure (VAC) as a superior method.

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Main Results:

  • Vacuum-assisted closure (VAC) is identified as the superior TAC method, often used with traction mesh.
  • All TAC strategies, including VAC, are linked to more surgical procedures.
  • Complication risks and prolonged hospital stays are associated with TAC.

Conclusions:

  • TAC is a critical intervention for selected patients when primary closure fails.
  • Vacuum-assisted closure (VAC) offers advantages but requires careful patient selection.
  • TAC necessitates experienced surgical teams and should be reserved for specific indications to mitigate risks.