Zipperつき人工腹壁被覆材(Ethizip)を使用した4例

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  • 4 Cases Using the Zipper System

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Various the methods of temporary wound closure are reported. For example, silo closure method was reported, but it takes time and damages the fascia to close abdominal wall. Temporary wound closure by using the zipper system are hardly reported in Japan. We reported 4 cases who were applied the zipper system. One of the cases was 49-year-old man. He was operated for pan-peritonitis caused by perforation of the ileum. We closed his abdominal wall by using the zipper system to prevent the development of ACS (abdominal compartment syndrome) and to make easier abdominal re-explorations through the zipper. After the operation, we could check the bowel every day and performed peritoneal lavage at bedside. Patient could discharge due to earlier definitive closure could be done. Management with zipper system was useful and effective in another 3 cases. Indications for using zipper system in our facility are severe diffuse peritonitis which needs several explorations and daily lavage, necrotizing pancreatitis and ACS. The zipper system is established as one of the temporary wound closures in Europe. There are only few reports in Japan about the zipper system, so we reported the cases and its usefulness.

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