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VAWCM-Instillation Improves Delayed Primary Fascial Closure of Open Septic Abdomen
المؤلفون المشاركون
Tao, Qingsong
Ren, Jianan
Ji, Zhenling
Liu, Shengli
Wang, Baochai
Zheng, Yu
Gu, Guosheng
Wang, Xinbo
Li, Jieshou
المصدر
Gastroenterology Research and Practice
العدد
المجلد 2014، العدد 2014 (31 ديسمبر/كانون الأول 2014)، ص ص. 1-7، 7ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2014-12-04
دولة النشر
مصر
عدد الصفحات
7
التخصصات الرئيسية
الملخص EN
Background.
Failure to achieve delayed primary fascial closure (DPFC) is one of the main complications of open abdomen (OA), certainly when abdominal sepsis is present.
This retrospective cohort study aims to evaluate the effect of combined therapy of vacuum-assisted mesh-mediated fascial traction and topical instillation (VAWCM-instillation) on DPFC in the open septic abdomen.
Methods.
The patients with abdominal sepsis who underwent OA using VAWCM were included and divided into the instillation and noninstillation (control) groups.
The DPFC rate and other outcomes were compared between the two groups.
Results.
Between 2007 and 2013, 73 patients with open septic abdomen were treated with VAWCM-instillation and 61 cases with VAWCM-only.
The DPFC rate in the instillation group was significantly increased (63% versus 41%, P = 0.011 ).
The mortality with OA was similar (24.6% versus 23%, P = 0.817 ) between the two groups.
However, time to DPFC ( P = 0.003 ) and length of stay in hospital ( P = 0.022 ) of the survivals were significantly decreased in the instillation group.
In addition, VAWCM-instillation (OR 1.453, 95% CI 1.222–4.927, P = 0.011 ) was an independent influencing factor related to successful DPFC.
Conclusions.
VAWCM-instillation could improve the DPFC rate but could not decrease the mortality in the patients with open septic abdomen.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Tao, Qingsong& Ren, Jianan& Ji, Zhenling& Liu, Shengli& Wang, Baochai& Zheng, Yu…[et al.]. 2014. VAWCM-Instillation Improves Delayed Primary Fascial Closure of Open Septic Abdomen. Gastroenterology Research and Practice،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1035876
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Tao, Qingsong…[et al.]. VAWCM-Instillation Improves Delayed Primary Fascial Closure of Open Septic Abdomen. Gastroenterology Research and Practice No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-1035876
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Tao, Qingsong& Ren, Jianan& Ji, Zhenling& Liu, Shengli& Wang, Baochai& Zheng, Yu…[et al.]. VAWCM-Instillation Improves Delayed Primary Fascial Closure of Open Septic Abdomen. Gastroenterology Research and Practice. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-1035876
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1035876
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
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