Abstract
Virtually every abdominal surgeon has faced the problem of closing a contaminated abdominal defect in which the fascia cannot be easily brought together primarily. Infected fascia may be inadequately debrided in the hope of leaving enough fascia for primary closure without tension, or, as observed by Stone et al, there may be an obsession with obtaining fascia-to-fascia approximation regardless of tension. Usually, however, the surgeon recognizes that closure of an extensively contaminated abdominal defect under tension virtually guarantees a return trip to the operating room to repair a fascial dehiscence. Whatever the circumstances, inadequate debridement of necrotic fascia, or fascia of questionable viability, is a violation of surgical principles.
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Dayton, M.T. (2001). Use of Absorbable Mesh in the Staged Repair of Contaminated Abdominal Wall Defects. In: Bendavid, R., Abrahamson, J., Arregui, M.E., Flament, J.B., Phillips, E.H. (eds) Abdominal Wall Hernias. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-8574-3_42
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DOI: https://doi.org/10.1007/978-1-4419-8574-3_42
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