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Ari Leppäniemi Managing the open abdomen

Ari Leppäniemi Managing the open abdomen

Ari Leppäniemi Managing the open abdomen

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When to accept <strong>the</strong> hernia<br />

- re-explorations are no longer needed<br />

- conditions favoring planned hernia strategy<br />

- inability to reapproximate <strong>the</strong> retracted abdominal<br />

wall edges<br />

- sizeable tissue loss<br />

-risk of tertiary ti ACS, if primary closure attempted<br />

t - inadequate infection source control<br />

-anterior enteric fistula<br />

- poor nutritional status

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