Christian von Rüden1,2, Emanuel Benninger3, Dieter Mayer4, Otmar Trentz3, Ludwig Labler3. 1. Division of Trauma Surgery, Department of Surgery, University Hospital Zurich, Zurich, Switzerland. christian.vonrueden@usz.ch. 2. Division of Trauma Surgery, Department of Surgery, University Hospital Zurich, Rämistrasse 100, 8091, Zurich, Switzerland. christian.vonrueden@usz.ch. 3. Division of Trauma Surgery, Department of Surgery, University Hospital Zurich, Zurich, Switzerland. 4. Division of Cardiovascular Surgery, Department of Surgery, University Hospital Zurich, Zurich, Switzerland.
Abstract
BACKGROUND: We present Bogota-VAC, a newly modified temporary abdominal closure (TAC) technique for open abdomen condition after abdominal compartment syndrome (ACS). METHODS: A thin isolation bag (Bogota bag) and a vacuum assisted closure (VAC) system were combined. A matching bag was tension-free fixed on the abdominal fascia by fascia suture. A ring shaped black polyurethane foam of the VAC system was placed into the gap between Bogota bag, abdominal fascia and the wound edge. A constant negative topic pressure of 50-75 mmHg was used in the VAC system. RESULTS: Intra-abdominal pressure (IAP: 22 ± 2 mmHg) of four patients with ACS after severe traumatic brain injury and one patient with isolated ACS after blunt abdominal trauma decreased significantly (p = 0.01) after decompressive laparotomy and treatment with Bogota-VAC (IAP: 10 ± 2 mmHg) and remained low, measured via urinary bladder pressure. Intracranial pressure (ICP) in the four traumatic brain injury patients decreased from 42 ± 13 mmHg to 15 ± 3 mmHg after abdominal decompression. Cerebral perfusion pressure (57 ± 14 mmHg) increased to 74 ± 2 mmHg. CONCLUSION: The advantage of the presented Bogota-VAC is leak tightness, wound conditioning (soft tissue/fascia), skin protection and facilitation of nursing in combination with highest volume reserve capacity (VRC), thus preventing recurrent increased intra-abdominal and intracranial pressure in the initial phase after decompression of ACS compared to other TAC techniques.
BACKGROUND: We present Bogota-VAC, a newly modified temporary abdominal closure (TAC) technique for open abdomen condition after abdominal compartment syndrome (ACS). METHODS: A thin isolation bag (Bogota bag) and a vacuum assisted closure (VAC) system were combined. A matching bag was tension-free fixed on the abdominal fascia by fascia suture. A ring shaped black polyurethane foam of the VAC system was placed into the gap between Bogota bag, abdominal fascia and the wound edge. A constant negative topic pressure of 50-75 mmHg was used in the VAC system. RESULTS: Intra-abdominal pressure (IAP: 22 ± 2 mmHg) of four patients with ACS after severe traumatic brain injury and one patient with isolated ACS after blunt abdominal trauma decreased significantly (p = 0.01) after decompressive laparotomy and treatment with Bogota-VAC (IAP: 10 ± 2 mmHg) and remained low, measured via urinary bladder pressure. Intracranial pressure (ICP) in the four traumatic brain injurypatients decreased from 42 ± 13 mmHg to 15 ± 3 mmHg after abdominal decompression. Cerebral perfusion pressure (57 ± 14 mmHg) increased to 74 ± 2 mmHg. CONCLUSION: The advantage of the presented Bogota-VAC is leak tightness, wound conditioning (soft tissue/fascia), skin protection and facilitation of nursing in combination with highest volume reserve capacity (VRC), thus preventing recurrent increased intra-abdominal and intracranial pressure in the initial phase after decompression of ACS compared to other TAC techniques.
Authors: Zsolt Balogh; Bruce A McKinley; Charles S Cox; Steven J Allen; Christine S Cocanour; Rosemary A Kozar; Ernest E Moore; Charles C Miller III; Norman W Weisbrodt; Frederick A Moore Journal: Shock Date: 2003-12 Impact factor: 3.454
Authors: Emanuel Benninger; Ludwig Labler; Burkhardt Seifert; Otmar Trentz; Michael D Menger; Christoph Meier Journal: J Surg Res Date: 2007-08-30 Impact factor: 2.192
Authors: James W Suliburk; Drue N Ware; Zsolt Balogh; Bruce A McKinley; Christine S Cocanour; Rosemary A Kozar; Frederick A Moore; Rao R Ivatury Journal: J Trauma Date: 2003-12