This Article  • References  • Full text PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

MOSHE SCHEIN, FCS(SA); ROGER SAADIA, FRCS
Department of Surgery University of the Witwatersrand York Rd, 2193 Parktown Johannesburg, South Africa

Arch Surg. 1988;123(10):1287.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—We read with interest the article by Garcia-Sabrido et al¹ in the February 1988 issue of the ARCHIVES on the "open-abdomen" management of severe intra-abdominal sepsis, and we agree, in principle, with their philosophy. We wish to refer to the "Discussion" section that follows their article.

Dr Egmund alludes to our "sandwich technique"² but mistakenly mentions the use of a lap pad. In fact, the technique involves the placement of a polypropylene mesh (Marlex) to prevent evisceration through the abdominal defect; in addition, a large incise drape (op-site) covers the defect and a wide margin of surrounding skin, and suction-irrigation tubes are interposed between the Marlex mesh and the opsite.

The use of a Marlex mesh has considerably simplified the management of the open abdomen³ by preventing evisceration and decreasing the incidence of "spontaneous" bowel fistulas all too often seen when gauze packs are . . . [Full Text PDF of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?