Change of an abdominal vacuum dressing in an open abdomen

Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Inspection and Adhesiolysis
Lavage
Insertion of the Intra-abdominal Component
Insertion of PU Sponges
Applying the Film
Application of the T.R.A.C.® System

Authors

Dr. med. Philipp Oetting

Enddarmzentrum München-Bavaria

Date

date of publication: 22.09.2008
date of update: 08.02.2024

Inspection and Adhesiolysis

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After removing the old vacuum dressing, disinfecting, and sterile draping of the surgical area, the inspection of the abdomen and the release of adhesions between the intestinal loops are performed.
Lavage

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Extensive rinsing and lavage of the abdomen.
Tip: Depending on the local findings or underlying disease, the procedure may need to be extended.
Insertion of the Intra-abdominal Component

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Moisten the intra-abdominal component (perforated film with integrated sponge) of the vacuum system and insert it into the abdomen using moist swabs.
Tip: Ensure that the film is inserted as deeply as possible into the abdomen and separates the abdominal wall from the intestines. In the area of the liver and the ligament or a stoma, the intra-abdominal film may need to be incised to be placed well and without folds into the depth.