RT Journal
A1 Qassemyar Q, Browet F, Robbe M, Verhaeghe P, Regimbeau J
T1 Dynamic parietal closure: Initial experience of an original parietal closure procedure for treatment of abdominal wound dehiscence
JF Archives of Surgery
JO Archives of Surgery
YR 2011
FD June 1
VO 146
IS 6
SP 762
OP 764
DO 10.1001/archsurg.2011.112
UL http://dx.doi.org/10.1001/archsurg.2011.112
AB 
Abdominal wound dehiscence complicates between 0.2% and 10% of midline laparotomies1 and is associated with significant morbidity and mortality (44% and 67%, respectively).2- 3 The surgeons who perform digestive surgery and plastic surgery at our institution have considered how to treat abdominal wound dehiscence. Given that preoperative risk factors cannot be modified in an emergency setting,1- 2 we added some specific plastic surgery procedures to the conventional parietal closure technique. We thus developed a “dynamic parietal closure” technique in which silicone loop sutures are used to strengthen a conventional aponeurotic closure. The procedure is simple, quick, inexpensive, and compatible with digestive stomas and complex peritoneal drainage. It has the advantages but not the disadvantages of the use of retention sutures or abdominal wall plastic surgery.4