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March 1976

Closure of Massive Abdominal Wall Defects in Adults

Author Affiliations

From the departments of surgery, College of Physicians and Surgeons, Columbia University, and Presbyterian Hospital, New York.

Arch Surg. 1976;111(3):297-298. doi:10.1001/archsurg.1976.01360210091019

• Large full-thickness abdominal wall defects may be satisfactorily closed with the temporary use of prosthetic mesh. Within two weeks after placing silastic mesh directly over exposed bowel, a membrane forms below the mesh. When the membrane thickens, central elliptical portions of the mesh are progressively excised, diminishing the size of the defect. Eventually, the mesh may be removed and the defect closed primarily or repaired with permanent prosthetic mesh.

(Arch Surg 111:297-298, 1976)