PMC7599407_01
CT abdomen with evidence of ileus most localized in the area of the ileocecal valve with questionable characteristics. No evidence of intra-abdominal free air or peri/subhepatic ascites.
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CT abdomen (Figure 1) showed ileus near the ileocecal valve with questionable characteristics.
Intraoperative application of Fasciotens Abdomen. Surgical suture (Vicryl USP 1 or 2) was attached to the mesh. The suture was connected in turn to the system and a tensile force of 50-60 Newtons was applied to the abdominal wall.
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During this procedure, the Fasciotens Abdomen (Fasciotens GmbH, Essen, Germany) was applied to prevent abdominal wall retraction during open treatment (Figures 2 and 3).
Application of Fasciotens Abdomen.
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During this procedure, the Fasciotens Abdomen (Fasciotens GmbH, Essen, Germany) was applied to prevent abdominal wall retraction during open treatment (Figures 2 and 3).
First, a surgical mesh stripe is attached to each of the fascial edges. Sutures USP 1 and 2 are attached to the mesh for traction (a). Fasciotens Abdomen is assembled and placed on chest and anterior pelvic ring (b). Sutures are clamped in, and traction is adjusted with a screw mechanism (c). The applied overall traction is displayed on a scale and constantly controlled and adjustable (d). Image supplied by Fasciotens (all rights reserved).
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There were no technical difficulties during application.  Figure 4 illustrates the installation of the device.
Abdominal wall closure after 6 days. Note the differentiation of the anterior and posterior fascial layers.
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