BMC Surgery | |
Negative Pressure Wound Therapy versus modified Barker Vacuum Pack as temporary abdominal closure technique for Open Abdomen management: a four-year experience | |
Research Article | |
Giulia Montori1  Roberto Manfredi1  Federico Coccolini1  Leonardo Solaini1  Luca Campanati1  Niccolò Allievi1  Marco Ceresoli1  Stefano Magnone1  Paola Fugazzola1  Matteo Tomasoni1  Luca Ansaloni1  | |
[1] Unit of General Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24127, Bergamo, Italy; | |
关键词: Temporary abdominal closure; Negative Pressure Wound Therapy; Barker Vacuum Pack; Open Abdomen; Trauma; Emergency surgery; | |
DOI : 10.1186/s12893-017-0281-3 | |
received in 2016-12-08, accepted in 2017-07-11, 发布年份 2017 | |
来源: Springer | |
【 摘 要 】
BackgroundWe reviewed our experience with patients presenting with trauma and peritonitis who underwent an open abdomen (OA) procedure, and compared outcomes between Negative Pressure Wound Therapy (NPWT) and a modified Barker Vacuum Pack (mBVP) technique.MethodsIn this descriptive study, we retrospectively analyzed data regarding all patients who underwent OA for intra-abdominal sepsis or abdominal trauma at our Centre from January 2012 to December 2015. Demographic data, co-morbidities, indications to surgery, intra-operative details and Björck classification grade were considered. Outcomes included were: time to closure in days, fascial closure rates, ICU and hospital stay, in-hospital and overall mortality, and entero-atmospheric fistula rate.ResultsA total of 83 cases were considered. Mean closure time was 6 days versus 6.5 days (p = 0.71) in NPWT and mBVP groups, respectively; the fascial closure rate was 75.4% versus 93.8% (p = 0.10). At multivariate analysis, in-hospital and overall mortality were significantly higher within the mBVP, as compared to NPWT (OR 3.8, 95% CI 1.1 to 13.1, p = 0.02 – OR 4.2, 95% CI 1.2 to 14.1, p = 0.01). Entero-atmospheric fistula rate was 2.6% in the two groups.ConclusionsNPWT as a temporary abdominal closure technique, as compared to mBVP, appears to be associated with better outcomes in terms of mortality.
【 授权许可】
CC BY
© The Author(s). 2017
【 预 览 】
Files | Size | Format | View |
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RO202311098015162ZK.pdf | 380KB | download |
【 参考文献 】
- [1]
- [2]
- [3]
- [4]
- [5]
- [6]
- [7]
- [8]
- [9]
- [10]
- [11]
- [12]
- [13]
- [14]
- [15]
- [16]
- [17]
- [18]
- [19]
- [20]