Management of Open Abdomen : Single Center Experience
Joint Authors
Source
Gastroenterology Research and Practice
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-11-17
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Aim.
The authors reviewed their experience in the management of open abdomen using the vacuum-assisted closure (VAC), in order to assess its morbidity, and the outcome of abdominal wall integrity.
Methods.
A retrospective review was performed using the trauma registry to identify patients undergoing temporary abdominal closure (TAC) either using Bogota Bag (BB) or VAC, from January 2006 to December 2012.
Inclusion criteria were TAC and survival to definitive abdominal closure.
Data collected included age, indication for TAC, number of operating room procedures, primary fascial closure rate, and complications.
Results.
During the study period, 156 patients required one type of TAC.
Mean number of operations required in BB group was 3.04 as compared to 1.96 in VAC group (P=0.006).
Survival was significantly increased in the VAC group (P<0.001).
The difference in primary closure rates did not reach statistical significance (25% vs.
55%; P=0.074).
Complications were observed less frequently in the VAC group (P=0.047).
The mean time for fascial closure was 21 (±12) days in the BB group, as opposed to 6 (±3) days in the VAC group (P<0.001).
Conclusion.
The vacuum assisted closure (VAC) has a significantly faster rate of closure, requires less number of operations, and is associated with a lower complication rate.
American Psychological Association (APA)
Yanar, Hakan T.& Sivrikoz, Emre. 2013. Management of Open Abdomen : Single Center Experience. Gastroenterology Research and Practice،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-482762
Modern Language Association (MLA)
Yanar, Hakan T.& Sivrikoz, Emre. Management of Open Abdomen : Single Center Experience. Gastroenterology Research and Practice No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-482762
American Medical Association (AMA)
Yanar, Hakan T.& Sivrikoz, Emre. Management of Open Abdomen : Single Center Experience. Gastroenterology Research and Practice. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-482762
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-482762