Fernandez, L.G., Sibaja Alvarez, P., Kaplan, M.J., Sanchez-Betancourt, A.A., Matthews, M.R. and Cook, A. (2019) Application of Negative Pressure Wound Therapy with Instillation and Dwell Time of the Open Abdomen: Initial Experience. Cureus, 11, e5667.

has been cited by the following article:

• TITLE: Reimagining the Visceral Protective Layer with Tailored Manipulation: A Case Report

  AUTHORS: R. Dewayne Edwards, Luis G. Fernandez, Sean O’Keefe, Michelle Baribault, Marc R. Matthews

  KEYWORDS: Open Abdomen, Temporary Abdominal Closure, Visceral Protective Layer, Loss of Abdominal Domain

  JOURNAL NAME: Surgical Science, Vol.13 No.2, January 28, 2022

  ABSTRACT: The visceral protective layer is a standard component of the ABTHERATM systems for temporary abdominal closures. Nonetheless, there are circumstances where the standard, fenestrated visceral protective layer is too large to be successfully applied into every patient’s open abdomen, such as within the abdomen of a child, smaller adult or a patient with previously placed ostomies or drains. The fenestrated, visceral protective layer may require alterations or tailoring for adequate deployment instead of placing the bulk of the visceral protective layer entirely into the open abdomen for temporary abdominal closure. This case report illustrates how the visceral protective layer can be adapted or “reimagined” to conform to a patient with unique or complex abdominal domain features when utilizing the ABTHERATM device prior to facial closure or abdominal wall reconstruction. Photographs are utilized in a step-by-step fashion to aid the clinician in these detailed maneuvers.