Abdominal zippers for temporary abdominal closure in planned relaparotomies for peripancreatic sepsis: experience in a developing country

Perez, Anthony R.

doi:10.1007/pl00009959

Cited by 10 publications

(8 citation statements)

References 13 publications

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“…Applying negative pressure to the fascial edges was evaluated in 35 papers describing 38 (32%) of 117 series, including 1634 (38%) patients ( [22,24,25,27,28,53,55,56,[89][90][91][92][93][94][95]. A zipper or a zipper mesh was used in 13 reporting the results in 15 series [14,16,20,29,63,[96][97][98][99][100][101][102][103]. Eight series described use of a Wittmann patch [31][32][33]64,[104][105][106][107], six a Bogotá bag [11,52,[108][109][110][111], three dynamic retention sutures [112][113][114] and one skin sutures only [48].…”

Section: Resultsmentioning

confidence: 99%

“…Four of those papers could not be translated (two from the Czech Republic, one from Norway and one from Hungary) and five papers could not be obtained. Thus 106 papers were found suitable for inclusion [1,10–113]. There were two randomized trials [1,10], three case–control series [11–13], 14 prospective studies, 77 retrospective studies and 10 were non‐specified.…”

Section: Resultsmentioning

confidence: 99%

“…Packing was described in 15 papers [22,24,25,27,28,53,55,56,89–95]. A zipper or a zipper mesh was used in 13 reporting the results in 15 series [14,16,20,29,63,96–103]. Eight series described use of a Wittmann patch [31–33,64,104–107], six a Bogotá bag [11,52,108–111], three dynamic retention sutures [112–114] and one skin sutures only [48].…”

Section: Resultsmentioning

confidence: 99%

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The open abdomen and temporary abdominal closure systems – historical evolution and systematic review

et al. 2012

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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The open abdomen and temporary abdominal closure systems – historical evolution and systematic review

et al. 2012

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“…5 The use of the zipper allows for the gentle lysis of adhesions to permit access to loculation, and the early detection and management of complications. 17 Contrast-enhanced CT is well established as an irreplaceable tool for the diagnosis of pancreatic and peripancreatic necrosis. [18][19][20] It is also very useful for the localization of necrotic areas 20,21 and makes quantification of the extent of necrosis possible.…”

Section: Discussionmentioning

confidence: 99%

Planned Staged Reoperative Necrosectomy Using an Abdominal Zipper in the Treatment of Necrotizing Pancreatitis

et al. 2005

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“…However, in some cases, the surgeon is forced to leave the open abdomen tactic that is associated with a mortality rate of 30% [1][2][3] . The open abdomen technique (AA) is a surgical strategy used in patients with related life-threatening intraabdominal hemorrhage, prevention or treatment of intraabdominal hypertension and treatment of intra-abdominal sepsis.…”

Section: Introduction Introduction Introduction Introduction Introducmentioning

confidence: 99%

Open abdomen management: single institution experience

Rodrigues

Novo

Arouca

et al. 2015

Rev. Col. Bras. Cir.

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. Today, despite advances in AA use with the development of vacuum therapy, the Bogota Stock Exchange (BB) is still widely used. In our institution and throughout Brazil, both techniques are used and the study's goal is to evaluate the morbidity and the result of the integrity of the abdominal wall after the use of both techniques. METHODS METHODS METHODS METHODS METHODSA retrospective study was conducted at HCFMUSP, identifying patients undergoing temporary abdominal closure (FAT) between January 2005 and December 2011. Data were collected through review of medical records. Data were compared in patients undergoing treatment with assisted closing the vacuum and the Bogota bag.Inclusion criteria were temporary abdominal closure indication survival and the definitive abdominal closure. FAT indications included: abdominal trauma, severe abdominal sepsis and ACS. Data collected included age, FAT indication, the number of procedures in the operating room and the primary fascial closure rate. In the postoperative period, one group of three surgeons followed all patients and performed all reoperations. As soon as possible, the aponeurosis of the edges were subjected to progressive approach with careful not to cause abdominal hypertension.The demographics of the two study groups (BB and VAC) were compared using the chi-square test of Pearson or Fisher's exact test for categorical variables and the Student t test for continuous variables. RESULTS RESULTS RESULTS RESULTS RESULTSDuring the study period, 59 patients require some kind of temporary abdominal closure (FAT), however, only 29 patients survived the final abdominal closure (52.5% mortality). One patient was excluded (subject to closure Backaus forceps). Thus, 28 patients were included, and, after two years of follow-up, none of them developed abdominal hernia or intestinal fistulas.There was no statistical difference between the study groups with respect to age (p> 0.05) and a significant difference regarding indications for temporary abdominal closure (p <0.05) ( Table 1).The primary closure rates were similar in both groups (p = 0.98). The average time (days) for fascial closure was 10.8 days for the BB group and 7.52 days in the group VAC (Table 2). DISCUSSION DISCUSSION DISCUSSION DISCUSSION DISCUSSIONIn this study, there was no statistical difference between the closing assisted vacuum and the Bogota bag (VAC and BB) when analyzed the number of operations, the primary closure, and the average time of closing. However, a previous study 19 showed better results when using VAC BB was compared on the primary closure (50 to 70 %% and 88% for BB VAC). The best approach to achieve the definitive abdominal closure in patients with open abdomen remains controversial. To improve the fascial closure rate, the excess volume resuscitation should be avoided, the water balance should be carefully implemented, not only on admission, but also throughout the course of treatment with open abdomen 20 . The high rate of primary closure found in our patients, 80% for BB and 96% f...

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Abdominal zippers for temporary abdominal closure in planned relaparotomies for peripancreatic sepsis: experience in a developing country

Abstract: The technique warrants further prospective controlled trials in the local setting to ascertain its role in the management of severe intraabdominal sepsis, and in other patients who may require "second-look" operations.

Cited by 10 publications

References 13 publications

The open abdomen and temporary abdominal closure systems – historical evolution and systematic review

The open abdomen and temporary abdominal closure systems – historical evolution and systematic review

Planned Staged Reoperative Necrosectomy Using an Abdominal Zipper in the Treatment of Necrotizing Pancreatitis

Open abdomen management: single institution experience

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