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Indian Journal of Surgery
Medknow Publications on behalf of Association of Surgeons of India
ISSN: 0972-2068
Vol. 66, No. 3, 2004, pp. 182-184
Bioline Code: is04048
Full paper language: English
Document type: Research Article
Document available free of charge

Indian Journal of Surgery, Vol. 66, No. 3, 2004, pp. 182-184

 en Staged abdominal repair (STAR) operation: How I did it
Biswajit Mohapatra

Abstract

STAR is a technique of serial operation, planned either before or during the first index operation and performed every 24 to 48 hrs or as required, with temporary closure of abdomen and ending in a final aponeurosis to aponeurosis closure of abdomen. During the course of treatment a controlled tension is exerted on the margins, avoiding an artificially caused Abdominal Compartment Syndrome due to intra abdominal inflammation, oedema, and ileus. Abdominal Compartment Syndrome (ACS) is defined as the sudden increase in the Intra-Abdominal pressure resulting in alternation in the respiratory mechanism, haemodynamic parameters, and renal as well as cerebral perfusion. Virtually all materials which are non reactive to the body tissue, can be used for temporary closure of abdomen. In my case I have used simple corrugated rubber drain sheet and drape to cover the abdomen temporarily.

Keywords
Abdominal Compartment Syndrome, Temporary abdominal coverage, Staged repair

 
© Copyright 2004 Indian Journal of Surgery.

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