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Wed Jun 22 13:16:22 BST 2005

Ron, Steve,

What advantage over vicryl mesh?

Regards,

Doug

________________________________

From: trauma-list-bounces at trauma.org on behalf of Ronald Simon
Sent: Wed 6/22/2005 5:24 AM
To: Trauma & Critical Care mailing list
Subject: Re: open abdomen and fistula's

I have used it several times instead of the more complex component
release. Has worked like a charm.
Ron Simon, MD

flysurg at aol.com wrote:

>I have used Alloderm over the past 2 years to close the open abdomen. It seems to work, no fistulae so far, but it is rediculously expensive and there is precious little literature to support its use for this purpose. Any thoughts from the list?
>
>Steve Smith
>
>-----Original Message-----
>From: docrickfry at aol.com
>To: trauma-list at trauma.org
>Sent: Tue, 21 Jun 2005 08:25:22 -0400
>Subject: Re: open abdomen and fistula's
>
>
>Well--of course it is better to close the abdomen, and certainly an open abdomen
>increases the risk of fistula.  This is not disputed at all.  The ONLY
>indication to leave an abdomen open long term is an inability to close it--very
>simple.  The important thing to recognize and appreciate is when this is
>necessary or advisable.
>ERF 
>
>-----Original Message-----
>From: Maureen Canavan <scho26 at sbcglobal.net>
>To: Trauma & Critical Care mailing list <trauma-list at trauma.org>
>Sent: Mon, 20 Jun 2005 20:45:22 -0700 (PDT)
>Subject: Re: open abdomen and fistula's
>
>
>I'm speaking of the original injury,whether its a gsw or sw, is it better to
>close or leave it open? Can leaving these abdomens open leave the patient to
>possible fistula's in their future?
>
>Ronald Simon <Traumamd at nyc.rr.com> wrote:I try and close both when the patient
>is ready to have the abdomen
>closed. Closing the fistula with the abdomen open has increased risk of
>recurrence, IMHO.
>Ron Simon, MD
>
>Maureen Canavan wrote:
>
> 
>
>>I'm seeing a higher number of fistula's in open abdomens what is the current
>>   
>>
>study on this? Leave them open or close them?
> 
>
>>Simon Houstoun wrote:Thanks very much Tim
>>
>>
>>   
>>
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open abdomen and fistula's