In:
Digestive Surgery, S. Karger AG, Vol. 27, No. 4 ( 2010), p. 272-278
Abstract:
〈 i 〉 Background/Aims: 〈 /i 〉 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. 〈 i 〉 Methods: 〈 /i 〉 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 χ 〈 sup 〉 2 〈 /sup 〉 test or Fisher’s exact test. 〈 i 〉 Results: 〈 /i 〉 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). 〈 i 〉 Conclusions: 〈 /i 〉 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.
Type of Medium:
Online Resource
ISSN:
0253-4886
,
1421-9883
Language:
English
Publisher:
S. Karger AG
Publication Date:
2010
detail.hit.zdb_id:
1468560-7
Permalink