Case Studies


European Union availability

The Wittmann Patch has CE approval. Retention Guard Suture Protective Plates do not have CE approval at this time. Until CE approval is received, surgeons who wish to use the TAWT surgical technique should use other skin-protecting bolsters or contact Starsurgical for alternatives.

TAWT Technique

TAWT (pronounced "taut") is a technique for closing the acute open abdomen and reconstructing chronic giant ventral hernias. TAWT helps achieve abdominal wall closure without components separation or bridging mesh and preserves the leading edge of the fascial borders for final closure.

TAWT utilizes the Wittmann Patch hook-and-loop sheets to apply constant isometric traction to both sides of the abdominal wall. The postulated mechanism is an isometric-traction-induced myofascial release that gradually lengthens the retracted oblique and latissimus muscles to recapture abdominal domain.

StarGuard™ skin-protecting plates enable lateral external attachment of underlay hook and loop sheets to the peritoneal surface of the abdominal wall.

TAWT Surgical Technique Details

Get detailed information about the TAWT technique.

Wittmann Patch TAWT Reapproximation and Closure

TAWT forces diagram

Ordering Information

  StarGuard Suture Retention Plates
Product Number TAWT7 SG9
Size 7 inch ✕ 1 inch plates 9 inch ✕ 1 inch plates
Package Contents 4 sterile protective plates per pouch. 1 double pouch per box. 4 sterile protective plates per pouch. 1 double pouch per box.

For additional information or to order, contact us.