BACKGROUND/AIMS: Vacuum-assisted closure (VAC) leads to a high fascial closure rate in open abdomen within the first week of treatment. However, little data exist on the role of long-term VAC treatment in patients with peritonitis, where fascial closure cannot be accomplished within the first days. METHODS: We reviewed the medical records of 49 patients with open abdomen for more than 7 days due to secondary peritonitis, who underwent a VAC-treatment. Nonparametric analysis was performed using chi(2) test or Fisher's exact test. RESULTS: Fascial closure could be accomplished in only 11 patients (22%), whereas complications occurred in 43 patients (88%). Re-explorations after starting VAC were associated with the occurrence of enterocutaneous fistula (p < 0.001) and were also of prognostic value regarding the rate of fascial closure (p = 0.033). CONCLUSIONS: If fascial closure cannot be accomplished within the first days, patients show a dramatically lower fascial closure and an increased complication rate with VAC. Further studies are needed to evaluate whether this subgroup really benefits from VAC. Copyright 2010 S. Karger AG, Basel.
BACKGROUND/AIMS: Vacuum-assisted closure (VAC) leads to a high fascial closure rate in open abdomen within the first week of treatment. However, little data exist on the role of long-term VAC treatment in patients with peritonitis, where fascial closure cannot be accomplished within the first days. METHODS: We reviewed the medical records of 49 patients with open abdomen for more than 7 days due to secondary peritonitis, who underwent a VAC-treatment. Nonparametric analysis was performed using chi(2) test or Fisher's exact test. RESULTS: Fascial closure could be accomplished in only 11 patients (22%), whereas complications occurred in 43 patients (88%). Re-explorations after starting VAC were associated with the occurrence of enterocutaneous fistula (p < 0.001) and were also of prognostic value regarding the rate of fascial closure (p = 0.033). CONCLUSIONS: If fascial closure cannot be accomplished within the first days, patients show a dramatically lower fascial closure and an increased complication rate with VAC. Further studies are needed to evaluate whether this subgroup really benefits from VAC. Copyright 2010 S. Karger AG, Basel.
Authors: M López-Cano; J M García-Alamino; S A Antoniou; D Bennet; U A Dietz; F Ferreira; R H Fortelny; P Hernandez-Granados; M Miserez; A Montgomery; S Morales-Conde; F Muysoms; J A Pereira; R Schwab; N Slater; A Vanlander; G H Van Ramshorst; F Berrevoet Journal: Hernia Date: 2018-09-03 Impact factor: 4.739
Authors: Michaela Ramser; Philippe M Glauser; Tracy R Glass; Benjamin Weixler; Martin T R Grapow; Henry Hoffmann; Philipp Kirchhoff Journal: World J Surg Date: 2021-01-22 Impact factor: 3.352
Authors: Massimo Sartelli; Fausto Catena; Salomone Di Saverio; Luca Ansaloni; Mark Malangoni; Ernest E Moore; Frederick A Moore; Rao Ivatury; Raul Coimbra; Ari Leppaniemi; Walter Biffl; Yoram Kluger; Gustavo P Fraga; Carlos A Ordonez; Sanjay Marwah; Igor Gerych; Jae Gil Lee; Cristian Tranà; Federico Coccolini; Francesco Corradetti; James Kirkby-Bott Journal: World J Emerg Surg Date: 2014-03-27 Impact factor: 5.469
Authors: Pradeep Navsaria; Andrew Nicol; Donald Hudson; John Cockwill; Jennifer Smith Journal: World J Emerg Surg Date: 2013-01-10 Impact factor: 5.469
Authors: Sven Richter; Stefan Dold; Johannes P Doberauer; Peter Mai; Jochen Schuld Journal: Gastroenterol Res Pract Date: 2013-10-28 Impact factor: 2.260