Negative pressure temporary abdominal closure without continuous suction: a solution for damage control surgery in austere and far-forward settings. Issue 3 (4th June 2019)

• Record Type: Journal Article
• Authors: Faulconer, Edwin Robert; Davidson, A J; Bowley, D; Galante, J
• Is Part Of: Journal of the Royal Army Medical Corps. Volume 165:Issue 3(2019)
• Page Start: 163
• Publication Date: 2019-06-04
• Subjects: surgery -- temporary abdominal closure -- military surgery -- damage control laparotomy -- open abdomen
• DOI: 10.1136/jramc-2018-000998
• Languages: English
• ISSNs: 0035-8665

Abstract

Abstract : 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.