# Modification of Negative Pressure Wound Therapy and Mesh-Mediated Fascial Traction for Open Abdomen Treatment

## TL;DR

This paper introduces a modified technique for closing laparostomies using negative pressure wound therapy and mesh traction, making the process easier and safer, especially when a colostomy is present.

## Contribution

A novel modification to existing techniques for laparostomy closure that simplifies the procedure and prevents colostomy compression.

## Key findings

- Applying mesh as a whole and adjusting traction on the excess part simplifies laparostomy closure.
- The technique allows for easy adjustment of mesh traction to avoid colostomy compression.
- The modified method is considered effective and efficient for open abdomen treatment.

## Abstract

The introduction of the open abdomen technique for laparostomies has presented new problems, including the method of temporary coverage and the primary and delayed closure of the laparostomy. Numerous techniques for the delayed closure of a laparostomy have been described in the literature, but closure of a laparostomy with a colostomy present is a more technically challenging situation. The combination of negative pressure wound therapy and mesh-mediated fascial traction is now considered the method of choice.

This paper presents a modification of the negative pressure wound therapy and mesh-mediated fascial traction techniques, by which laparostomy closure can be easily and quickly achieved by applying mesh as a whole and applying traction on the excess part. The traction on different parts of the mesh can be easily adjusted to avoid colostomy compression.