Changing negative pressure wound dressings in open abdomen

Anatomy Perioperative management Technique Complications Evidence Total Video

Inspection and adhesiolysis

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After removing the old NPWT dressing, prepping and sterile draping of the surgical field, inspect the abdomen and resolve any adhesions between the intestinal loops.
Lavage

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Extensive irrigation and lavage of the abdomen.
Tip: Depending on local findings and underlying condition, respectively, the procedure may need to be extended.
Inserting the intra-abdominal component

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Moisten the intra-abdominal component (perforated film with integrated sponge) of the NPWT system and insert it into the abdomen with moist dissecting sponges.
Tip: Ensure that the film is inserted as deeply into the abdomen as possible and that it separates the abdominal wall from the bowel. Around the liver and the ligament or a stoma, the intra-abdominal film may need to be incised in order to insert it well deep into the abdomen without wrinkling.