{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T06:08:46Z","timestamp":1788847726573,"version":"build-2803163510"},"reference-count":36,"publisher":"SAGE Publications","issue":"10","license":[{"start":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T00:00:00Z","timestamp":1777507200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Carolinas Laparoscopic and Advanced Surgery Program"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The American Surgeon\u2122"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Primary closure of contaminated abdominal wall reconstruction (AWR) wounds carries significant wound complication risks. Vacuum-assisted, delayed primary closure (VADPC) improves outcomes but requires a second anesthetic. The \u201cFrench fry\u201d technique (FFT) utilizes VA benefits without reoperation. The aim of this study was to evaluate the outcomes of FFT in complex, contaminated AWR.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single center\u2019s open AWRs (CDC class 2-4) managed with FFT were reviewed. Technique: incision is closed except for small gaps to place subcutaneous 1 \u00d7 1 \u00d7 8cm NPWT foam \u201cFrench fries\u201d at 5-6\u00a0cm intervals under an incisional NPWT (\u2212125 mmHg). FF are removed POD3 at the bedside and precise measurement is taken to assure all FFs are accounted for. Incisional NPWT is continued. Primary outcome included wound complications compared to Carolinas Equation for Determining Associated Risks (CeDAR) predictions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Twenty-seven AWR patients (BMI 31.6 \u00b1 5.9\u00a0kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ; 40.7% diabetic; 66.7% recurrent hernias; 100% CDC wound class 2-4; massive defect size 384.2 \u00b1 143.8\u00a0cm\n                      <jats:sup>2<\/jats:sup>\n                      ) underwent FFT. Biologic mesh was placed in 74.1% of cases; 18.5% of defects were closed primarily. Fascial closure was achieved in 92.6%. CeDAR-predicted wound complication rate was 53.8%. Observed wound complication rate was 25.9%, including infection (14.8%) requiring intervention, with 7.4% requiring reopening of their wounds. There were no mesh infections and no hernia recurrences over average follow-up of 8.2 \u00b1 19.8\u00a0months.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>FFT is a practical, single-stage, strategy for contaminated AWR, reducing complications compared to predicted risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/00031348261448885","type":"journal-article","created":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T16:42:36Z","timestamp":1777567356000},"page":"2531-2538","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Subcutaneous Wound Management in Complex, Contaminated Abdominal Wall Reconstruction (AWR) \u2013 The \u201cFrench Fry\u201d Technique"],"prefix":"10.1177","volume":"92","author":[{"given":"Samantha W.","family":"Kerr","sequence":"first","affiliation":[{"name":"Carolinas Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucy R.","family":"Hinton","sequence":"additional","affiliation":[{"name":"Endeavor Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-4104-7721","authenticated-orcid":false,"given":"Victoria L.","family":"Walker","sequence":"additional","affiliation":[{"name":"Baptist Health Sciences University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alynna J.","family":"Wiley","sequence":"additional","affiliation":[{"name":"Carolinas Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gregory T.","family":"Scarola","sequence":"additional","affiliation":[{"name":"Carolinas Medical Center"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sullivan A.","family":"Ayuso","sequence":"additional","affiliation":[{"name":"University of Texas at Austin"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1864-6048","authenticated-orcid":false,"given":"B. Todd","family":"Heniford","sequence":"additional","affiliation":[{"name":"Endeavor Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,4,30]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2020.325"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2019.10.019"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-021-08485-z"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182849871"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2012.10.013"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2024.06.084"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhin.2004.10.019"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1053\/jhin.2001.1003"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000001601"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2014.12.055"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2022.07.042"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2019.05.043"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2024.115843"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.1097\/XCS.0000000000001348"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-025-12000-z"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0041-1735900"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-024-11420-7"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199605093341901"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.3389\/fsurg.2022.855409"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.surg.2024.08.029"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2017.0904"},{"key":"e_1_3_3_23_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00423-023-02811-w"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12266"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1093\/bjs\/znad080.035"},{"key":"e_1_3_3_26_2","volume-title":"Wound Classification. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan\u2013. Updated August 17, 2023. Available from:","author":"Herman TF","unstructured":"Herman TF, Popowicz P, Bordoni B. Wound Classification. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan\u2013. Updated August 17, 2023. Available from: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK554456."},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2018.07.199"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jamcollsurg.2015.07.145"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000002966"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2020.03.070"},{"key":"e_1_3_3_31_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-0034-1394155"},{"key":"e_1_3_3_32_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2016.106"},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2013.090"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-022-09486-2"},{"key":"e_1_3_3_35_2","volume-title":"Use of VAC-assisted Delayed Primary Closure (VaDPC) in high-risk Ventral Hernia Patients with mesh-related Enterocutaneous Fistulas (ECF)","author":"Kao A","year":"2018","unstructured":"Kao A, Arnold M, Cox T, Augenstein V, Heniford BT. Use of VAC-assisted Delayed Primary Closure (VaDPC) in high-risk Ventral Hernia Patients with mesh-related Enterocutaneous Fistulas (ECF). Wiley; 2018."},{"key":"e_1_3_3_36_2","doi-asserted-by":"publisher","DOI":"10.1089\/sur.2006.7.s1-19"},{"key":"e_1_3_3_37_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2016.4952"}],"container-title":["The American Surgeon\u2122"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261448885","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/00031348261448885","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/00031348261448885","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T05:57:58Z","timestamp":1788847078000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/00031348261448885"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,30]]},"references-count":36,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1177\/00031348261448885"],"URL":"https:\/\/doi.org\/10.1177\/00031348261448885","relation":{},"ISSN":["0003-1348","1555-9823"],"issn-type":[{"value":"0003-1348","type":"print"},{"value":"1555-9823","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,30]]}}}