938: Anastomotic Leak Rate With the Use of Negative Pressure Temporary Abdominal Closure

Bartholomew, Reid; Reede, Kristen; Hustad, Leah; Staebler, Danelle; Evans, Dustin; Zreik, Khaled; Ahmeti, Mentor

doi:10.1097/01.ccm.0000729640.71860.ad

Cited by 1 publication

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“…Enteroatmospheric fistula (EAF) is the most frequently cited complication of OA TAC; other complications include an increase in overall mortality,4,11,15–17 in-hospital mortality,3 postoperative/perioperative mortality,3,10 anastomotic leak,3,18 bleeding,10,15 intestinal failure/bowel necrosis,11,15 abdominal abscess/infection,3,10,11,17 ventral hernia,3 and evisceration 17. The WSES guidelines list measures to prevent EAF such as early abdominal wall closure, bowel coverage with plastic sheets, use of omentum or skin to enhance closure, avoidance of direct application of synthetic prosthesis over bowel loops, avoidance of NPWT on abdominal viscera, and deep burying of intestinal anastomoses under bowel loops 2.…”

Section: Complicationsmentioning

confidence: 99%

Abdominal Negative Pressure Wound Therapy Devices for Management of the Open Abdomen

Crumley¹

2022

Journal of Wound, Ostomy &Amp; Continence Nursing

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PURPOSE: The purpose of this technologic analysis was to analyze technologic features of abdominal negative pressure wound therapy (NPWT). APPROACH: Published literature regarding abdominal negative pressure wound therapy (aNPWT) devices was reviewed. A summary of management approaches for the open abdomen provides a foundation for understanding the benefits of aNPWT. Safety information regarding aNPWT was derived from the Manufacturer and User Facility Device Experience (MAUDE) Database. CONCLUSIONS: The open abdomen approach with temporary abdominal closure may be employed for patients with a variety of conditions. Specialized abdominal NPWT devices, either singly or in combination with other approaches, may contribute to improved outcomes in this high-risk patient population. Manufacturer recommendations and clinical guidelines should be followed to minimize patient risk.

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Section: Complicationsmentioning

confidence: 99%

Abdominal Negative Pressure Wound Therapy Devices for Management of the Open Abdomen

Crumley¹

2022

Journal of Wound, Ostomy &Amp; Continence Nursing

View full text Add to dashboard Cite

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938: Anastomotic Leak Rate With the Use of Negative Pressure Temporary Abdominal Closure

Cited by 1 publication

References 0 publications

Abdominal Negative Pressure Wound Therapy Devices for Management of the Open Abdomen

Abdominal Negative Pressure Wound Therapy Devices for Management of the Open Abdomen

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