부산대학교 도서관

The vacuum packing closure (VPC) is often performed as temporal abdominal closure after damagecontrol surgery (DCS). We occasionally encounter severe trauma patients whose abdomens wereunable to be closed after DCS. The bilateral anterior rectus abdominis sheath flap turnover methodand component separation (CS) method are one of the options to close the abdomen. However, it canbe challenging to close the abdomen in some patients with very severe trauma or obesity by thesemethods. The open abdomen management (OAM) with a planned ventral hernia can be performed inthose patients. The patients with long term OAM occasionally develop persistent enteroatmosphericfistula (EAF). The VPC using absorbable mesh is useful to reduce the likelihood of EAF. The posteriorcomponent separation with transversus abdominis release is a useful method for delayed abdominalwall reconstruction following planned VH if bilateral anterior rectus abdominis sheath flap turnovermethod and CS method are unable to be performed.