Fasciotens is a modern medical device from the field of advanced medical technology, developed specifically for the treatment of complex hernias and open abdominal wounds. It assists surgeons in controlling tension and enabling a secure closure of the abdominal wall – even in difficult cases. The aim is to increase the distance between the wound edges by applying targeted tensile forces to the fasciae, in order to achieve tension-free closure.
In abdominal surgery, controlled reduction of volume is considered a decisive factor for the success of treatment. Fasciotens® enables the tensile stress of the abdominal wall to be precisely regulated. This restores the physiological tension in the tissue and reduces pressure in the abdomen. This controlled approach reduces post-operative complications and improves healing after surgery.
The system is used in particular with Fasciotens Hernia and Fasciotens Abdomen. While Fasciotens Hernia is primarily used for large hernias or hernias of the abdominal wall, Fasciotens® Abdomen is used in patients with an open abdomen to facilitate gradual closure. Both systems offer precise tension control and help to prevent loss of abdominal wall volume.
The development of Fasciotens is largely attributable to Prof. Dr. Gereon Lill, who, as an experienced surgeon and specialist in complex abdominal wall reconstructions, helped to develop the system clinically. Lill and his team thus laid the foundation for a gentle and effective treatment of severe hernias and open abdomens.
By combining innovative medical technology with surgical precision, Fasciotens enables a significantly improved recovery. Specialists can tailor the method to individual cases, thereby effectively closing even complex hernias or secondary abdominal wall defects – safely, in a controlled manner and under optimal conditions for abdominal regeneration.
Surgeons prepare for a procedure in a modern operating theater – a sterile environment, the highest precision and professionalism.
In cases of complex hernias or an open abdomen, closing the abdominal wall is often difficult or impossible. Here, Fasciotens offers an effective solution: through targeted, vertical tension, the intra-abdominal volume can be increased and the tension on the abdominal wall significantly reduced.
The procedure serves not only to restore the anatomy but also to stabilize critically ill patients where conventional methods reach their limits. In many cases, the result is a successful, tension-free closure of the abdominal wall, which contributes significantly to improving the chances of recovery.
With its technology, Fasciotens has solved a significant medical problem that was long considered virtually insurmountable in surgery. The ability to increase intra-abdominal volume while simultaneously reducing intra-abdominal pressure enables safe and controlled reconstruction. Clinical trials show that the targeted use of the method significantly improves outcomes in many cases and optimizes treatment results in the long term.
Treatment with Fasciotens is a precise yet gentle process aimed at reclosing the abdominal wall under controlled tension. Depending on the clinical presentation – whether a hernia or an open abdomen – either Fasciotens Hernia or Fasciotens®Abdomen is used. Both systems offer surgeons a smart solution for preserving the natural anatomy of the abdomen and avoiding post-operative complications.
Preparation and positioning
Before the operation begins, the surgeon secures the Fasciotens system to the abdominal wall. The fasciae are grasped using special clamps and stretched with a precisely controlled tensile force. This stretching increases abdominal volume and reduces intra-abdominal pressure – a crucial step in reducing tension and preparing the abdominal wall for subsequent closure.
Intraoperative use for hernias
Fasciotens Hernia is used in patients with hernias or a large abdominal wall defect. This medical device allows for dynamic stretching during the procedure, enabling the surgeon to adjust tissue tension step by step. The procedure is particularly helpful when the defect is too large to be closed primarily. Through the controlled stretching of the fascia, the hernia can be corrected without tension – which significantly reduces the risk of recurrence.
Treatment of the open abdomen
Fasciotens®Abdomene is used in cases of an open abdomen, for example following severe infections or trauma. This system maintains the abdominal wall under controlled tension throughout the entire treatment phase and prevents the fasciae from separating. After a few days, the surgeon can gradually reduce the tension until a secure, tension-free closure is possible. This modern surgical method enables faster healing, better postoperative recovery and a significant improvement in the functional outcome for the patient.
The management of the open abdomen presents a particular challenge in modern surgery. This is where Fasciotens comes into play – a system developed by experienced surgeons and now distributed by Dahlhausen Medizintechnik. The aim is to maintain controlled tension on the abdominal fascia, thereby ensuring safe and effective treatment of the open abdomen.
The use of Fasciotens can significantly shorten the duration of treatment. The constant tensile force applied to the abdominal wall gradually brings the tissue together without causing additional injury or pressure damage. The system ensures that the fasciae are preserved and facilitates the subsequent restoration of the anatomical structures of the abdominal cavity.
This method is regarded as a major advance in the treatment of open abdomen – it combines precision, safety and efficiency. Fasciotens thus offers valuable support to surgeons who have to treat complex cases involving large tissue defects.
Fasciotens – benefits, suitable patient groups and practical experience
Both types were developed by surgeons for surgeons to address one of the greatest challenges in modern hernia surgery and open abdomen management: the safe and tension-free closure of the abdominal wall. Both systems are produced by Fasciotens GmbH, an innovative company that develops high-precision devices for surgical practice in cooperation with Dahlhausen Medizintechnik.
Fasciotens®Abdomen is used in patients with an open abdomen or severe abdominal wall defects, where closing the open abdomen is often difficult or impossible due to retraction or tissue damage. Through controlled fascial traction – i.e. vertical traction on the fascia – the abdominal wall is gently stretched, thereby increasing the intra-abdominal volume and reducing intra-abdominal pressure. This helps to maintain anatomical integrity and gradually stabilize the abdominal cavity.
Fasciotens®Hernia, on the other hand, is primarily used for complex hernias or large defects. The system applies vertical traction to the fascia, prevents continuous fascial retraction and facilitates tension-free abdominal closure. This method offers surgeons a new approach to hernia surgery, particularly for large defects in the abdominal wall. Procedures such as component separation or botulinum toxin can also be used as adjuncts to reduce tension on the abdominal wall.
Experience from clinics shows that Fasciotens can significantly shorten treatment duration and improve healing outcomes. Studies and early outcomes demonstrate that, in many cases, primary fascial closure was achieved with Fasciotens®Abdomen – that is, the complete, primary closure of the abdominal wall without additional grafts.
When treating with Fasciotens Hernia, surgeons observed a noticeable reduction in recurrence rates in major hernia operations. The controlled fascial traction and reduction in tension improve the functional outcome, as the anatomical integrity of the abdominal wall is preserved.
The combination of Fasciotens with procedures such as NPWT (negative pressure wound therapy) or complementary techniques for component separation has proven particularly effective in complex hernias. Hospitals report faster outcomes, fewer complications and improved postoperative recovery. Fasciotens, developed by surgeons for surgeons, has thus established itself as a groundbreaking solution for closing the abdominal wall, even in the most challenging cases.
What is the indication for using the Fasciotens device?
The Fasciotens device is primarily used for complex hernias and in open abdomen cases, where conventional closure of the abdominal wall is often difficult or impossible. It assists surgeons by preventing fascial retraction and restoring the natural anatomical condition.
How does the system’s vertical traction work?
The system applies targeted vertical traction to the fascia to distribute tension evenly and gradually close the abdominal wall. This helps to lower intra-abdominal pressure and reduce the risk of further complications.
When can the use of the Fasciotens device be life-saving?
In critical cases of an open abdomen, the device can be life-saving as it helps to stabilize the abdominal cavity and safely prepare for closure of the abdominal wall. This is particularly crucial in patients with severe infections or trauma.
What results can be achieved with Fasciotens?
The result of using Fasciotens is often a complete and tension-free closure of the abdominal wall. At the same time, fascial retraction is prevented, which improves long-term stability and reduces the need for further interventions.
