Literature DB >> 25972489

Components separation technique is feasible for assisting delayed primary fascial closure of open abdomen.

S K Rasilainen1, P J Mentula2, A K Leppäniemi2.   

Abstract

BACKGROUND AND AIMS: The goal after open abdomen treatment is to reach primary fascial closure. Modern negative pressure wound therapy systems are sometimes inefficient for this purpose. This retrospective chart analysis describes the use of the 'components separation' method in facilitating primary fascial closure after open abdomen.
MATERIAL AND METHODS: A total of 16 consecutive critically ill surgical patients treated with components separation during open abdomen management were analyzed. No patients were excluded.
RESULTS: Primary fascial closure was achieved in 75% (12/16). Components separation was performed during ongoing open abdomen treatment in 7 patients and at the time of delayed primary fascial closure in 9 patients. Of the former, 3/7 (43%) patients reached primary fascial closure, whereas all 9 patients in the latter group had successful fascial closure without major complications (p = 0.019).
CONCLUSION: Components separation is a useful method in contributing to successful primary fascial closure in patients treated for open abdomen. Best results were obtained when components separation was performed simultaneously with primary fascial closure at the end of the open abdomen treatment. © The Finnish Surgical Society 2015.

Entities:  

Keywords:  Open abdomen; abdominal compartment syndrome; components separation; primary fascial closure; temporary abdominal closure; vacuum-assisted wound closure

Mesh：

Year:  2015        PMID： 25972489     DOI： 10.1177/1457496915586651

Source DB:  PubMed          Journal:  Scand J Surg        ISSN： 1457-4969            Impact factor:   2.360


  9 in total

Review 1.  EHS clinical guidelines on the management of the abdominal wall in the context of the open or burst abdomen.

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

Review 2.  [Summary and comments on the WSES guidelines on open abdomen in trauma and non-trauma patients].

Authors:  A Hecker; M Hecker; J Liese; A Kauffels-Sprenger; M A Weigand; F Coccolini; F Catena; M Sartelli; W Padberg; M Reichert; I Askevold
Journal:  Chirurg       Date:  2021-03-05       Impact factor: 0.955

3.  Blurring the boundary between open abdomen treatment and ventral hernia repair.

Authors:  Samuel A Käser; P Brosi; P A Clavien; R Vonlanthen
Journal:  Langenbecks Arch Surg       Date:  2019-02-07       Impact factor: 3.445

4.  The Association of Coloproctology of Great Britain and Ireland consensus guidelines in emergency colorectal surgery.

Authors:  Andrew S Miller; Kathryn Boyce; Benjamin Box; Matthew D Clarke; Sarah E Duff; Niamh M Foley; Richard J Guy; Lisa H Massey; George Ramsay; Dominic A J Slade; James A Stephenson; Phil J Tozer; Danette Wright
Journal:  Colorectal Dis       Date:  2021-02       Impact factor: 3.917

Review 5.  The role of open abdomen in non-trauma patient: WSES Consensus Paper.

Authors:  Federico Coccolini; Giulia Montori; Marco Ceresoli; Fausto Catena; Ernest E Moore; Rao Ivatury; Walter Biffl; Andrew Peitzman; Raul Coimbra; Sandro Rizoli; Yoram Kluger; Fikri M Abu-Zidan; Massimo Sartelli; Marc De Moya; George Velmahos; Gustavo Pereira Fraga; Bruno M Pereira; Ari Leppaniemi; Marja A Boermeester; Andrew W Kirkpatrick; Ron Maier; Miklosh Bala; Boris Sakakushev; Vladimir Khokha; Manu Malbrain; Vanni Agnoletti; Ignacio Martin-Loeches; Michael Sugrue; Salomone Di Saverio; Ewen Griffiths; Kjetil Soreide; John E Mazuski; Addison K May; Philippe Montravers; Rita Maria Melotti; Michele Pisano; Francesco Salvetti; Gianmariano Marchesi; Tino M Valetti; Thomas Scalea; Osvaldo Chiara; Jeffry L Kashuk; Luca Ansaloni
Journal:  World J Emerg Surg       Date:  2017-08-14       Impact factor: 5.469

Review 6.  The open abdomen in trauma and non-trauma patients: WSES guidelines.

Authors:  Federico Coccolini; Derek Roberts; Luca Ansaloni; Rao Ivatury; Emiliano Gamberini; Yoram Kluger; Ernest E Moore; Raul Coimbra; Andrew W Kirkpatrick; Bruno M Pereira; Giulia Montori; Marco Ceresoli; Fikri M Abu-Zidan; Massimo Sartelli; George Velmahos; Gustavo Pereira Fraga; Ari Leppaniemi; Matti Tolonen; Joseph Galante; Tarek Razek; Ron Maier; Miklosh Bala; Boris Sakakushev; Vladimir Khokha; Manu Malbrain; Vanni Agnoletti; Andrew Peitzman; Zaza Demetrashvili; Michael Sugrue; Salomone Di Saverio; Ingo Martzi; Kjetil Soreide; Walter Biffl; Paula Ferrada; Neil Parry; Philippe Montravers; Rita Maria Melotti; Francesco Salvetti; Tino M Valetti; Thomas Scalea; Osvaldo Chiara; Stefania Cimbanassi; Jeffry L Kashuk; Martha Larrea; Juan Alberto Martinez Hernandez; Heng-Fu Lin; Mircea Chirica; Catherine Arvieux; Camilla Bing; Tal Horer; Belinda De Simone; Peter Masiakos; Viktor Reva; Nicola DeAngelis; Kaoru Kike; Zsolt J Balogh; Paola Fugazzola; Matteo Tomasoni; Rifat Latifi; Noel Naidoo; Dieter Weber; Lauri Handolin; Kenji Inaba; Andreas Hecker; Yuan Kuo-Ching; Carlos A Ordoñez; Sandro Rizoli; Carlos Augusto Gomes; Marc De Moya; Imtiaz Wani; Alain Chichom Mefire; Ken Boffard; Lena Napolitano; Fausto Catena
Journal:  World J Emerg Surg       Date:  2018-02-02       Impact factor: 5.469

Review 7.  Prevention of Incisional Hernias after Open Abdomen Treatment.

Authors:  Frederik Berrevoet
Journal:  Front Surg       Date:  2018-02-26

Review 8.  The role of the open abdomen procedure in managing severe abdominal sepsis: WSES position paper.

Authors:  Massimo Sartelli; Fikri M Abu-Zidan; Luca Ansaloni; Miklosh Bala; Marcelo A Beltrán; Walter L Biffl; Fausto Catena; Osvaldo Chiara; Federico Coccolini; Raul Coimbra; Zaza Demetrashvili; Demetrios Demetriades; Jose J Diaz; Salomone Di Saverio; Gustavo P Fraga; Wagih Ghnnam; Ewen A Griffiths; Sanjay Gupta; Andreas Hecker; Aleksandar Karamarkovic; Victor Y Kong; Reinhold Kafka-Ritsch; Yoram Kluger; Rifat Latifi; Ari Leppaniemi; Jae Gil Lee; Michael McFarlane; Sanjay Marwah; Frederick A Moore; Carlos A Ordonez; Gerson Alves Pereira; Haralds Plaudis; Vishal G Shelat; Jan Ulrych; Sanoop K Zachariah; Martin D Zielinski; Maria Paula Garcia; Ernest E Moore
Journal:  World J Emerg Surg       Date:  2015-08-12       Impact factor: 5.469

9.  The long-term outcomes of early abdominal wall reconstruction by bilateral anterior rectus abdominis sheath turnover flap method in critically ill patients requiring open abdomen.

Authors:  Masatoku Arai; Shiei Kim; Hiromoto Ishii; Jun Hagiwara; Shigeki Kushimoto; Hiroyuki Yokota
Journal:  World J Emerg Surg       Date:  2018-09-04       Impact factor: 5.469
  9 in total

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