Sm. Cohn et al., ESMARCH CLOSURE OF LAPAROTOMY INCISIONS IN UNSTABLE TRAUMA PATIENTS, The journal of trauma, injury, infection, and critical care, 39(5), 1995, pp. 978-979
Fascial closure after laparotomy may be time-consuming and extremely d
ifficult, especially in the setting of massive bowel edema, In the tra
uma patient with deteriorating hemodynamic status, hypothermia, or wor
sening hypoxia, expeditious abdominal wall closure is essential to fac
ilitate rapid transport to the intensive care unit for further stabili
zation, With the increasing utilization of the abbreviated laparotomy
in unstable trauma patients, innovative techniques for speedy fascial
closure must be evaluated, We developed the Esmarch closure-a simple,
rapid method for closing the abdominal wall at the end of abbreviated
laparotomies.