ABRA® Abdominal

ABRA Abdominal allows for the management and primary closure of retracted abdominal defects, through the use of cyclic stretching. Cyclic stretching of tissue facilitates the rotation of collagen and muscle fibers, which increases skin coverage and relaxes the contracted musculature to gently re-approximate the wound margins.

Indications for Use

ABRA Abdominal is indicated for controlling, reducing, and closing retracted full-thickness abdominal wounds and soft tissue defects.

Physician Recognized

The Eastern Association for the Surgery of Trauma (EAST) recently recommended using a fascial traction system for the management of hemodynamicallly stable open abdomen patients. The recommendation is based on their meta-analysis of the current body of literature showing statistically significant improvements in myofascial closure vs standard of care (Full-Study Here).⁶

Benefits

High Closure Rates

Of 88-98% in published studies^1,2,4

Superior Outcomes

Both functionally and cosmetically¹

Gentle Cyclic Stretching

Instead of the pressures caused by a forced facial closure³

Full-thickness closure

Of all tissue layers from the skin down to the peritoneum¹

Faster Closures

Averaging 7-12 days after application⁵

Reduced OR Usage

Bedside Management

On average requires 5 minutes a day^1,3

Conforms To Patient

Regardless of Ostomies, feeding tubes, or other traumas³

Reduces Costs

By $12-$47K according to 1 study²

1. Haddock C, Konkin DE, Blair NP. Management of the open abdomen with the Abdominal Reapproximation Anchor dynamic fascial closure system. American Journal of Surgery, 2013, 205, 528 – 533.

2. Cinelli S, Casey M, et al. Early Primary Closure of Open Abdominal Wall Using the Abdominal Reapproximation Anchor (ABRA) System. University of Nevada School of Medicine Poster, Division of Trauma and Critical Care: Southwestern Surgical Congress, Coronado, CA. March 22-25, 2009.

3. Verdam FJ, Dolmans DE, Loos MJ, Raber MH, Wit RJ, et al. Primary Closure of the Septic Open Abdomen with a Dynamic Closure System. World Journal of Surgery, 35: 2348-2355.

4. Schlaefer J, Dries D, Engwall S, Lindvall K. Complicated Abdominal Wall Closure: New Technique. Regions Hospital, St Paul MN.

5. Puckett YG, Caballero B, McReynolds S, Richmond RE, Ronnaghan C. Successful Closure of the Open Abdomen Utilizing Novel Technique Combining Dynamic Closure with a Biologic Xenograft. Texas Tech University Health Sciences Center. Int J Abdom Wall Hernia Surg. 2021;4:195-201

6.Mahoney, E. J., Bugaev, N., & Baltazar, G. (2022, September 1). Management of the open abdomen: A systematic review with meta-analysis and practice management guideline from the eastern association for the surgery of trauma. EAST.org. Retrieved January 1, 2023, from https://www.east.org/education-career-development/practice-management-guidelines/details/management-of-the-open-abdomen-a-systematic-review-with-metaanalysis-and-practice-management-guideline-from-the-eastern-association-for-the-surgery-of-trauma