CLOSURE OF THE ABDOMEN BY MESH FOR PLANNED RE-LAPAROTOMY - A TECHNICAL MODIFICATION

Temporary closure of the abdomen with a synthetic mesh and multiple pl anned relaparotomies are the essentials of the modern strategy for tre ating severe intra-abdominal sepsis or pancreatic necrosis. One of the complications associated with mesh closure of the abdomen is facial n ecrosis at the Hound edges leading to evisceration, Tension of the str ictures between mesh and facia called local ischemia, which combined w ith infection leads to the facial disintegration and separation of the mesh from the abdominal wall. A modified technique of suturing the me sh was developed in our department and its technical details are prese nted. Twenty-four patients treated with the ''open abdominal technique and planned relaparotomies'' are presented. The new technique was use d in 9 patients for closure of evisceration after mesh separation.