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Lukning af akut midtlinjelaparotomi

Forfatter(e)

Thomas Korgaard Jensen1, Ismail Gögenur2, 3 & Mai-Britt Tolstrup1

1) Afdelingen for Mave- Tarm og Leversygdomme, Kirurgisk Sektion, Herlev Hospital, 2) Kirurgisk Afdeling, Sjællands Universitetshospital, Køge, 3) Center for Surgical Science, Det Sundhedsvidenskabelige Fakultet, Københavns Universitet

Ugeskr Læger 2020;182:V07200505

Reference: 
UgeskrLæger 2020;182:V07200505
Blad nummer: 
Closure of an emergency midline laparotomy

Thomas Korgaard Jensen, Ismail Gögenur & Mai-Britt Tolstrup

Ugeskr Læger 2020;182:V07200505

Closure of an emergency abdominal midline laparotomy is related to potentially serious complications. Main concerns are surgical site infection, wound dehiscence and incisional hernia. In this review, new studies and guidelines are summed up to a set of recommendations applicable to the Danish surgical departments. Surgical strategies concerning primary closure of an emergency laparotomy as well as a strategy towards wound dehiscence are suggested. Suture techniques, negative pressure wound therapy and reinforcement of the abdominal wall with mesh are the topics reviewed.

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