TAC

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Thank you.
  When we use a temp closure just as you described, We change every 2 nd day or so. Otherwise infection will sets in. 1.
  1.Is that your experience as well?
  2. If you are using absorbable mesh, how soon you could apply after DC surgery?
  Ranjith

rwolfer at aol.com wrote:
  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.
RW



-----Original Message-----
From: Ranjith Ellawala 
To: Trauma & Critical Care mailing list 
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
Colombo 
Sri lanka

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