Temporary Abdominal Closure Techniques: The Wittmann Patch

Richard J. Fantus

Product Details
Product ID: ACS-2204
Year Produced: 2003
Length: 13 min.

Since the late 1980's the concept of damage control laparotomy has emerged as a mainstay in the armamentarium of the trauma surgeon. In order to avoid the letha triad of hypothermia, coagulopathy, and metabolic acidosis; operations have been abruptly terminated after control of hemorrhage. Methods for temporary abdominal closure have subsequently evolved. This temporary abdominal closure technique employs a Velcro like material that is sutured to the fascia of the abdominal wall. This method allows for reexploration of the abdomen as well as slow re-approximation of the abdominal wall over a period of days. This makes if possible to perform a delayed primary closure of the fascia. Trauma patients that once may have gone on to develop ventral hernieas with other temporary closure modalities are now able to be closed primarily.