Surgical Tips in Frozen Abdomen Management: Application of Coliseum Technique
Wound dehiscence is a serious postoperative complication, with an incidence of 0.5–3% after primary closure of a laparotomy incision, and represents an acute mechanical failure of wound healing. Relatively recently the concept of “intentional open abdomen” was described and both clinical entities sh...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Case Reports in Surgery |
| Online Access: | http://dx.doi.org/10.1155/2015/309290 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832552248756928512 |
|---|---|
| author | Ioannis D. Kyriazanos Dimitrios K. Manatakis Nikolaos Stamos Christos Stoidis |
| author_facet | Ioannis D. Kyriazanos Dimitrios K. Manatakis Nikolaos Stamos Christos Stoidis |
| author_sort | Ioannis D. Kyriazanos |
| collection | DOAJ |
| description | Wound dehiscence is a serious postoperative complication, with an incidence of 0.5–3% after primary closure of a laparotomy incision, and represents an acute mechanical failure of wound healing. Relatively recently the concept of “intentional open abdomen” was described and both clinical entities share common pathophysiological and clinical pathways (“postoperative open abdominal wall”). Although early reconstruction is the target, a significant proportion of patients will develop adhesions between abdominal viscera and the anterolateral abdominal wall, a condition widely recognized as “frozen abdomen,” where delayed wound closure appears as the only realistic alternative. We report our experience with a patient who presented with frozen abdomen after wound dehiscence due to surgical site infection and application of the “Coliseum technique” for its definitive surgical management. This novel technique represents an innovative alternative to abdominal exploration, for cases of “malignant” frozen abdomen due to peritoneal carcinomatosis. Lifting the edges of the surgical wound upwards and suspending them under traction by threads from a retractor positioned above the abdomen facilitates approach to the peritoneal cavity, optimizes exposure of intra-abdominal organs, and prevents operative injury to the innervation and blood supply of abdominal wall musculature, a crucial step for subsequent hernia repair. |
| format | Article |
| id | doaj-art-b6499a5a6d7c4f62930a6fb5e64ff950 |
| institution | Kabale University |
| issn | 2090-6900 2090-6919 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Surgery |
| spelling | doaj-art-b6499a5a6d7c4f62930a6fb5e64ff9502025-02-03T05:59:19ZengWileyCase Reports in Surgery2090-69002090-69192015-01-01201510.1155/2015/309290309290Surgical Tips in Frozen Abdomen Management: Application of Coliseum TechniqueIoannis D. Kyriazanos0Dimitrios K. Manatakis1Nikolaos Stamos2Christos Stoidis31st Surgical Department, Athens Naval and Veterans Hospital, 11521 Athens, Greece1st Surgical Department, Athens Naval and Veterans Hospital, 11521 Athens, Greece1st Surgical Department, Athens Naval and Veterans Hospital, 11521 Athens, Greece1st Surgical Department, Athens Naval and Veterans Hospital, 11521 Athens, GreeceWound dehiscence is a serious postoperative complication, with an incidence of 0.5–3% after primary closure of a laparotomy incision, and represents an acute mechanical failure of wound healing. Relatively recently the concept of “intentional open abdomen” was described and both clinical entities share common pathophysiological and clinical pathways (“postoperative open abdominal wall”). Although early reconstruction is the target, a significant proportion of patients will develop adhesions between abdominal viscera and the anterolateral abdominal wall, a condition widely recognized as “frozen abdomen,” where delayed wound closure appears as the only realistic alternative. We report our experience with a patient who presented with frozen abdomen after wound dehiscence due to surgical site infection and application of the “Coliseum technique” for its definitive surgical management. This novel technique represents an innovative alternative to abdominal exploration, for cases of “malignant” frozen abdomen due to peritoneal carcinomatosis. Lifting the edges of the surgical wound upwards and suspending them under traction by threads from a retractor positioned above the abdomen facilitates approach to the peritoneal cavity, optimizes exposure of intra-abdominal organs, and prevents operative injury to the innervation and blood supply of abdominal wall musculature, a crucial step for subsequent hernia repair.http://dx.doi.org/10.1155/2015/309290 |
| spellingShingle | Ioannis D. Kyriazanos Dimitrios K. Manatakis Nikolaos Stamos Christos Stoidis Surgical Tips in Frozen Abdomen Management: Application of Coliseum Technique Case Reports in Surgery |
| title | Surgical Tips in Frozen Abdomen Management: Application of Coliseum Technique |
| title_full | Surgical Tips in Frozen Abdomen Management: Application of Coliseum Technique |
| title_fullStr | Surgical Tips in Frozen Abdomen Management: Application of Coliseum Technique |
| title_full_unstemmed | Surgical Tips in Frozen Abdomen Management: Application of Coliseum Technique |
| title_short | Surgical Tips in Frozen Abdomen Management: Application of Coliseum Technique |
| title_sort | surgical tips in frozen abdomen management application of coliseum technique |
| url | http://dx.doi.org/10.1155/2015/309290 |
| work_keys_str_mv | AT ioannisdkyriazanos surgicaltipsinfrozenabdomenmanagementapplicationofcoliseumtechnique AT dimitrioskmanatakis surgicaltipsinfrozenabdomenmanagementapplicationofcoliseumtechnique AT nikolaosstamos surgicaltipsinfrozenabdomenmanagementapplicationofcoliseumtechnique AT christosstoidis surgicaltipsinfrozenabdomenmanagementapplicationofcoliseumtechnique |