@entity1 who receive high-volume resuscitation after massive abdominopelvic @entity130 , or emergent repair of a @entity1755 ( @entity1755 ), are at a significant risk for postoperative @entity8479 ( @entity8479 ). Absorbable prosthetic closure of the abdominal wall has been recommended as a means of managing @entity8479 . However, use of absorbable prosthetic has been associated with very high rates of intestinal @entity292 formation and @entity4037 formation. The purpose of this study was to retrospectively review our experience with the use of nonabsorbable prosthetic abdominal closures in @entity1 with documented @entity8479 or at high risk for @entity8479 . All @entity1 managed by this technique from July 1995 through July 1997 after repair of @entity1755 or massive abdominopelvic @entity130 were evaluated. A total of 18 @entity1 were identified: 15 primary prosthetic placements (Gore-Tex patch, 12; Marlex mesh, 2; and silastic mesh, 1) and 3 delayed prosthetic placements for @entity8479 (Gore-Tex, 1 and Marlex, 2). The mortality rate was 22 percent (4 of 18) and resulted from @entity881 (2 @entity1 ), @entity1167 1 hour postoperatively (1 @entity1 ), and severe @entity6075 (1 @entity1 ). Secondary closure and prosthetic removal was possible in 16 of 18 @entity1 , including the 2 @entity1 who died of @entity881 within the same hospitalization. Delayed abdominal closure at a subsequent admission was performed in two cases. This same @entity1 developed an enterocutaneous @entity292 2 months after discharge. Importantly, only 1 of 18 closed in this manner developed @entity8479 requiring reoperation. The results indicate that use of a nonabsorbable prosthetic, particularly with Gore-Tex, is efficacious in the prevention of postoperative @entity8479 in high-risk @entity1 , while it enhances the possibility for delayed abdominal closure and minimizes the risk of gastrointestinal fistulization associated with other techniques.

Abdominal closure using nonabsorbable mesh after massive resuscitation prevents XXXX and gastrointestinal fistula.

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity4037 :: ('MESH:D006555', 'Disease') :: ['ventral hernia'] @entity1755 :: ('MESH:D001019', 'Disease') :: ['ruptured abdominal aortic aneurysm', 'RAAA'] @entity8479 :: ('MESH:D059325', 'Disease') :: ['abdominal compartment syndrome', 'ACS'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistula'] @entity6075 :: ('MESH:D016489', 'Disease') :: ['closed head injury'] @entity881 :: ('MESH:D009102', 'Disease') :: ['multisystem organ failure'] @entity1167 :: ('MESH:D006323', 'Disease') :: ['cardiac arrest'] @entity130 :: ('MESH:D014947', 'Disease') :: ['trauma']
@entity8479 :: (MESH:D059325,Disease) :: ['abdominal compartment syndrome']
