INTERESTING INSIGHTS
Case studies
Case study 1: fasciotens with sterile foil cover
Description:
- transverse laparotomy (fasciotens technique can also be used here)
- patient with pancreatitis and duodenal leakage
- 3 weeks abdomen apertum, 14 cm fascia distance, then closure with fasciotens
Case study 2: fasciotens with NPWT
Description:
- condition after right hemicolectomy and HIPEC for appendiceal carcinoma
- 18 days abdomen apertum, 11 cm fascia distance
- after 5 days closure with fasciotens
Case study 3: fasciotens with NPWT
Description:
- patient with retroperitoneal hemorrhage (hemorrhaged bowel)
- eventeration reducible under fasciotens therapy
- fascial closure after 6 days
Case study 4: Recovery of the abdominal wall
Description:
- acute pancreatitis
- after 7 days abdomen apertum the fascial distance was 26 cm
- after another 21 days residual distance 5 cm, fascial closure according to Ramirez
Case study 5: Awake patient with spinal anaesthesia (PDA)
Description:
- fasciotens is also applicable in awake patients!
- abdomen apertum in stooly 4-quadrant peritonitis due to perforated appendicitis
- initial fascia distance 13 cm, direct fascia closure after 6 days