Abstract domen ” has likely contributed to im-proved outcomes in trauma patients, the challenge of subsequent fascial closure has emerged. Since mid 2004, we have incor-porated Wittmann Patch staged abdomi-nal closure into our management of the open abdomen. The purpose of this study was to evaluate the impact of this device on our incidence of fascial closure versus planned ventral hernia. Methods: Patients managed by open abdomen from 2001 through 2006 were identified from the trauma registry. Fas-cial closure immediately after definitive repair of injuries was defined as “early fascial closure. ” Continuation of the open abdomen beyond the definitive repair of injuries with subsequent fascial closure was defined as “delayed fascial closure.” Since April 2004, the Wittmann Patch was uniformly employed in open abdo-men management. Patients managed be-fore the use of this device (“pre-Patch”) were compared with those managed in the “Patch ” era.

If the surgeon places the patch without abdominal exploration, you should look instead to an appropriate integumentary system closure code (for instance, 13160, Secondary closure of surgical wound or dehiscence, extensive or complicated), with modifier -58 appended.

Results: Fifty-six open abdomens were managed in the pre-Patch era and 103 were managed in the Patch era. In the pre-Patch era, 33 (59%) underwent early fascial closure, compared with 67 (65%) in the Patch era (p NS). Dikie zhivotnie prezentaciya dlya detej. For the remaining patients, the incidence of delayed fascial closure was significantly higher in those managed with the Wittmann Patch com-pared with those managed in the pre-Patch era (78% vs.

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