A Case of Abdominal Closure Using Endoscopic Anterior Component Separation Following Open Abdomen Management for
Chika Morita1, Naoya Matsumoto1, Hiroto Miyanaga1
1Department of General and Gastroenterological Surgery, Hyogo Prefectural Harima Himeji General Medical Center, Himeji, Hyogo, Japan.
Surgical Case Reports
|April 2, 2026
Summary
Endoscopic anterior component separation (ECS) offers a minimally invasive approach for early abdominal wall closure in open abdomen management (OAM). This technique preserves blood supply, significantly reducing surgical site occurrences compared to open methods.
Area of Science:
- Abdominal Wall Reconstruction
- Minimally Invasive Surgery
- Surgical Complications
Background:
- Early abdominal wall closure is critical in open abdomen management (OAM) to prevent complications and improve patient outcomes.
- Open anterior component separation (OCS) is used for OAM closure but has a high rate of surgical site occurrences (SSOs) due to impaired blood flow from extensive dissection.
- Endoscopic anterior component separation (ECS) was developed to preserve perforating blood vessels, thereby reducing SSOs.
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