Negative pressure temporary abdominal closure without continuous suction: a solution for damage control surgery in austere and far-forward settings.

Autor:	Faulconer ER; Vascular Surgery, Derriford Hospital, Plymouth, UK robert.faulconer@nhs.net., Davidson AJ; Department of Trauma Surgery, University of California Davis Medical Center, Sacramento, California, USA., Bowley D; 16 Medical Regiment, Colchester, UK., Galante J; Department of Trauma Surgery, University of California Davis Medical Center, Sacramento, California, USA.
Jazyk:	angličtina
Zdroj:	Journal of the Royal Army Medical Corps [J R Army Med Corps] 2019 Jun; Vol. 165 (3), pp. 163-165. Date of Electronic Publication: 2018 Sep 04.
DOI:	10.1136/jramc-2018-000998
Abstrakt:	The use of topical negative pressure dressings in temporary abdominal closure has been readily adopted worldwide; however, a method of continuous suction is typically required to provide a seal. We describe a method of temporary abdominal closure using readily available materials in the forward surgical environment which does not require continuous suction after application. This method of temporary abdominal closure provides the benefits of negative pressure temporary abdominal closure after damage control surgery without the need for continuous suction or specialised equipment. Its application in damage control surgery in austere or far-forward settings is suggested. The technique has potential applications for military surgeons as well as in humanitarian settings where the logistic supply chain may be fragile. Competing Interests: Competing interests: None declared. (© Author(s) (or their employer(s)) 2019. No commercial re-use. See rights and permissions. Published by BMJ.)
Databáze:	MEDLINE
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