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The end goal of wound management is closure of the wound which can be achieved by primary closure, delayed primary closure, or healing by secondary intention, each of which is discussed below. Pain control is a mainstay of wound management, as wound evaluation, wound cleansing, and dressing changes can be a painful process. [27]
The Wittmann Patch is a temporary abdominal fascia prosthesis for the planned open abdomen to ease the management of cases where the abdomen cannot be closed due to abdominal compartment syndrome or because multiple further operations are planned (damage control repair [DCR]).
The predominant clinical symptoms of wrinkly skin syndrome are wrinkled and inelastic skin over the face, backs of hands/fingers, tops of feet, and abdomen; delayed closure of the fontanelle (baby's soft spot), and increased palmar and plantar creases in the hands and feet, respectively.
Bogota bag used in the treatment of abdominal compartment syndrome. [1]A Bogota bag is a sterile plastic bag used for closure of abdominal wounds. [2] It is generally a sterilized 3-liter (0.66 imp gal; 0.79 U.S. gal) genitourinary irrigation bag that is sewn to the skin or fascia of the anterior abdominal wall.
The concern for early closure of the abdomen with development of compartment syndrome is a real one. A method to pre-emptively evaluate whether fascial closure is appropriate would be to determine the difference in peak airway pressure (PAP) prior to closure and the right after closure.
The main discussion of these abbreviations in the context of drug prescriptions and other medical prescriptions is at List of abbreviations used in medical prescriptions. Some of these abbreviations are best not used, as marked and explained here.
Primary closure of the wound to promote undisturbed and uninterrupted healing; Angiogenesis to provide necessary blood supply and undifferentiated mesenchymal cells; Space creation and maintenance to facilitate space for bone in-growth; Stability of the wound to induce blood clot formation and allow uneventful healing
Wound closure is performed with sutures (stitches), staples, or adhesive tape or glue. Primary intention can only be implemented when the wound is precise and there is minimal disruption to the local tissue and the epithelial basement membrane, e.g. surgical incisions. [102] This process is faster than healing by secondary intention. [101]