SciELO - Scientific Electronic Library Online

vol.59 issue1Age is a predictor of significant endoscopic findings in dyspepsia patients in South AfricaAssessment of the delayed repair of uncomplicated inguinal hernias in infants author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand



Related links

  • On index processCited by Google
  • On index processSimilars in Google


South African Journal of Surgery

On-line version ISSN 2078-5151
Print version ISSN 0038-2361


KRUGER, H; COUCH, DG  and  OOSTHUIZEN, GV. Skin-only closure as a temporary abdominal closure technique in a rural setting - exploring role and safety profile. S. Afr. j. surg. [online]. 2021, vol.59, n.1, pp.20-24. ISSN 2078-5151.

BACKGROUND: Acute laparotomy for trauma or sepsis often prevents definitive closure due to need for relook laparotomy or to prevent abdominal compartment syndrome. Skin-only closure is widely used in our setting. In this study, we review the safety and effectiveness of this techniqueMETHODS: Patients presenting with intra-abdominal pathology undergoing acute laparotomy and then subsequent skin-only closure using 2-0 prolene were included in the study and followed postoperatively for a three-month period for adverse events stratified by Clavien-Dindo grading, and rate of definitive closureRESULTS: During the study period, twenty-five patients underwent emergent laparotomy and skin-only closure. The median age of patients undergoing skin-only closure was 27 years (standard deviation 9.1). Six patients presented with major trauma and 19 presented with sepsis. Twenty-one patients underwent subsequent fascial closure. One patient was unable to undergo fascial closure and was managed as a planned ventral hernia. Fourteen patients developed a postoperative complication. There were no deaths and no readmissions to intensive care. Three further patients developed a ventral herniaCONCLUSION: Skin-only closure, in carefully selected patients, is a feasible alternative to other temporary abdominal closure techniques in a resource-constrained setting

Keywords : damage control; skin-only closure; temporary abdominal closure; hernia.

        · text in English     · English ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License