Dec 27, 2015  In 16 survivors who had the Wittmann Patch placed to facilitate abdominal closure, 15 patients (94%) had their fascial closed after removal of the patch. The authors considered that the Wittmann Patch provided a simple method to accommodate the change in abdominal girth and it has not been associated with spontaneous opening. The Wittmann Patch is a temporary abdominal fascia prosthesis for the planned open abdomen to ease 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]).

Since the late 1980's the concept of damage control laparotomy has emerged as a mainstay in the armamentarium of the trauma surgeon. In order to avoid the letha triad of hypothermia, coagulopathy, and metabolic acidosis; operations have been abruptly terminated after control of hemorrhage.

Methods for temporary abdominal closure have subsequently evolved. This temporary abdominal closure technique employs a Velcro like material that is sutured to the fascia of the abdominal wall. This method allows for reexploration of the abdomen as well as slow re-approximation of the abdominal wall over a period of days. This makes if possible to perform a delayed primary closure of the fascia.

Trauma patients that once may have gone on to develop ventral hernieas with other temporary closure modalities are now able to be closed primarily. Hitman pro trial reset.

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