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Negative Pressure Wound Therapy for the Treatment of the Open Abdomen and Incidence of Enteral Fistulas : A Retrospective Bicentre Analysis
Joint Authors
Mai, Peter
Richter, Sven
Schuld, Jochen
Doberauer, Johannes P.
Dold, Stefan
Source
Gastroenterology Research and Practice
Issue
Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2013-10-28
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Introduction.
The open abdomen (OA) is often associated with complications.
It has been hypothesized that negative pressure wound therapy (NPWT) in the treatment of OA may provoke enteral fistulas.
Therefore, we analyzed patients with OA and NPWT with special regard to the occurrence of intestinal fistulas.
Methods.
The present study included all consecutive patients with OA treated with NWPT from April 2010 to August 2011 in two hospitals.
Patients’ demographics, indications for OA, risk factors, complications, outcome and incidence of fistulas before, during and after NPWT were recorded.
Results.
Of 81 patients with OA, 26 had pre-existing fistulas and 55 were free from a fistula at the beginning of NPWT.
Nine of the 55 patients developed fistulas during (n=5) or after NPWT (n=4).
Seventy-five patients received ABThera therapy, 6 patients other temporary abdominal closure devices.
Only diverticulitis seemed to be a significant predisposing factor for fistulas.
Mortality was slightly lower for patients without fistulas.
Conclusion.
The present study revealed no correlation between occurrence of fistulas before, during, and after NWPT, with diverticulitis being the only risk factor.
Fistula formation during NPWT was comparable to reports from literature.
Prospective studies are mandatory to clarify the impact of NPWT on fistula formation.
American Psychological Association (APA)
Richter, Sven& Dold, Stefan& Doberauer, Johannes P.& Mai, Peter& Schuld, Jochen. 2013. Negative Pressure Wound Therapy for the Treatment of the Open Abdomen and Incidence of Enteral Fistulas : A Retrospective Bicentre Analysis. Gastroenterology Research and Practice،Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-494152
Modern Language Association (MLA)
Richter, Sven…[et al.]. Negative Pressure Wound Therapy for the Treatment of the Open Abdomen and Incidence of Enteral Fistulas : A Retrospective Bicentre Analysis. Gastroenterology Research and Practice No. 2013 (2013), pp.1-6.
https://search.emarefa.net/detail/BIM-494152
American Medical Association (AMA)
Richter, Sven& Dold, Stefan& Doberauer, Johannes P.& Mai, Peter& Schuld, Jochen. Negative Pressure Wound Therapy for the Treatment of the Open Abdomen and Incidence of Enteral Fistulas : A Retrospective Bicentre Analysis. Gastroenterology Research and Practice. 2013. Vol. 2013, no. 2013, pp.1-6.
https://search.emarefa.net/detail/BIM-494152
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-494152