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rwolfer at aol.com rwolfer at aol.com
Wed Aug 20 23:26:37 BST 2008

if no wound vac we use a sandwich of blue towels and ioban and put a large NG between the layers to "suck out' the fluid that is hooked to low continous wall suction. I t works very well
I would not use prolene mesh but if you want mesh would use vicryl as it is absorbable. you just end up with large ventral hernia later.  you could wait until it all granulates and then skin graft the defect. In 6 or so months when the pt is we.. and you can "pick skin graft off underlying tissue" we would remove and repair ventral hernia.

-----Original Message-----
From: Ranjith Ellawala <ranjithellawala at yahoo.com>
To: Trauma &amp Critical Care mailing list <trauma-list at trauma.org>
Sent: Wed, 20 Aug 2008 1:25 pm
Subject: TAC

I use ‘opsite sandwitch’ initially for DC. We don’t have vaccum assisted 
rainage device nor absorbable mesh. but we have  Plastic IV bags.
 1.       Could I use polypropalene mesh safely?
 2.       When do you think the best to change over to mesh if abdomen appears 
o be too tight for closure?
 3.       Could you use either type of mesh in the presence of wound infection?
 4.       What can you use to cover the mesh temporally?
 Your comments please
 Ranjith Ellawala
 Sri lanka
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