Under certain extreme conditions in abdominal surgery, such as in septic complications of resections of the GIT with dehiscence of the anastomosis the only possible surgical approach is classical laparostomy. In the latter, contrary to the technique of temporary closure, the abdominal cavity is left open. After control of the sepsis usually the greatest problem is treatment of the defect in the abdominal wall with a fistula of the GIT. Unfortunately special devices for the treatment of such wounds cannot be used in all cases. At the Department of Surgery in Plzeň such situations are resolved by suction drainage led beyond the defect in the abdominal wall which is then covered with an incision foil. In this way treatment of the patient is greatly simplified.

        Key words: laparostomy – temporary abdominal closure – intestinal fistula – defect of abdominal wall