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Fig. 4 | BMC Surgery

Fig. 4

From: Complete abdominal wound and anastomotic leak with diffuse peritonitis closure achieved by an abdominal vacuum sealing drainage in a critical ill patient: a case report

Fig. 4

Procedure for abdominal vacuum sealing. a The open wound and peritoneal cavity were washed with saline and necrotic and/or contaminated tissues were debrided. b Wound dressing materials were placed along the abdominal wound to protect healthy skin around the wound. c Two drainage tubes (arrows) with multiple side holes, up to 30 cm from the tip, were placed in the abdominal cavity through the open abdomen to drain the gastrointestinal contents. Gastrointestinal contents were suctioned through the drainage tubes with negative pressure. d The gastric fistula remained, but other gastrointestinal anastomotic leakages were healed. The gastrostomy balloon was inserted in the gastric fistula

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