Intra‐abdominal vacuum‐assisted closure (VAC) after necrosectomy for acute necrotising pancreatitis: preliminary experience

Sermoneta, Daniel; Mugno, Massimo Di; Pl, Spada; Lodoli, Claudio; Carvelli, ME; Magalini, S. I.; Cavicchioni, C; Bocci, Mario; Martorelli, Fernando de Oliveira; Mg, Brizi; Gui, Daniele

doi:10.1111/j.1742-481x.2010.00727.x

Cited by 17 publications

(12 citation statements)

References 16 publications

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“…Another experimental modality that was recently published as a case series is intra-abdominal vacuum-assisted closure after necrosectomy [51]. This technique might have a role in preventing ACS and reducing the time to definitive closure after necrosectomy.…”

Section: Newer Modalitiesmentioning

confidence: 98%

Early Management of Severe Acute Pancreatitis

Talukdar

Vege

2011

Curr Gastroenterol Rep

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Significant literature on the management of acute severe acute pancreatitis has emerged in recent years. The new information ranges from data on newer single or multiparameter severity assessment tools and classification systems to therapeutic modalities. However, a few basic issues-the ideal severity assessment modality, volume of intravenous fluids required in the first 48 to 72 h, and the role of prophylactic antibiotics-are still not clear and are subject to controversy. The International Working Group has devised the Revised Atlanta Classification, which will be published soon. This new classification is eagerly awaited worldwide, and hopefully clarifies many of the problems of the original Atlanta Classification. In this article, we discuss the developments that have arisen in the past 2 to 3 years concerning the classification, prognostication, and early management of severe acute pancreatitis.

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Section: Newer Modalitiesmentioning

confidence: 98%

Early Management of Severe Acute Pancreatitis

Talukdar

Vege

2011

Curr Gastroenterol Rep

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“…The completion of surgical procedure involves various techniques, from open or closed packing, to continuous irrigation of the lesser sac and retroperitoneum, to planned staged relaparotomies [20]. The latest advancement in the managing of open abdomen is the vacuum-assisted closure, with a packing combined with negative pressure that easily allows repeated laparotomies, prevents abdominal compartment syndrome, simplifies the nursing of patient, and should reduce time to definitive abdominal closure [57].…”

Section: Severe Acute Pancreatitismentioning

confidence: 99%

Acute Pancreatitis

Campli¹,

Cerioli²,

Leppäniemi³

et al. 2016

Emergency Laparoscopy

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“…Eleven studies on VSD application in intraperitoneal organ inflammation, injury and surgical treatment were included, one RCT 107 and 10 observational studies. 46 , 47 , 49 , 53 , 71 , 76 , 81 , 92 , 108 , 109…”

Section: Recommendationsmentioning

confidence: 99%

Chinese Trauma Surgeon Association for management guidelines of vacuum sealing drainage application in abdominal surgeries—Update and systematic review

Sun

et al. 2019

Chinese Journal of Traumatology

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Vacuum sealing drainage (VSD) is frequently used in abdominal surgeries. However, relevant guidelines are rare. Chinese Trauma Surgeon Association organized a committee composed of 28 experts across China in July 2017, aiming to provide an evidence-based recommendation for the application of VSD in abdominal surgeries. Eleven questions regarding the use of VSD in abdominal surgeries were addressed: (1) which type of materials should be respectively chosen for the intraperitoneal cavity, retroperitoneal cavity and superficial incisions? (2) Can VSD be preventively used for a high-risk abdominal incision with primary suture? (3) Can VSD be used in severely contaminated/infected abdominal surgical sites? (4) Can VSD be used for temporary abdominal cavity closure under some special conditions such as severe abdominal trauma, infection, liver transplantation and intra-abdominal volume increment in abdominal compartment syndrome? (5) Can VSD be used in abdominal organ inflammation, injury, or postoperative drainage? (6) Can VSD be used in the treatment of intestinal fistula and pancreatic fistula? (7) Can VSD be used in the treatment of intra-abdominal and extra-peritoneal abscess? (8) Can VSD be used in the treatment of abdominal wall wounds, wound cavity, and defects? (9) Does VSD increase the risk of bleeding? (10) Does VSD increase the risk of intestinal wall injury? (11) Does VSD increase the risk of peritoneal adhesion? Focusing on these questions, evidence-based recommendations were given accordingly. VSD was strongly recommended regarding the questions 2–4. Weak recommendations were made regarding questions 1 and 5–11. Proper use of VSD in abdominal surgeries can lower the risk of infection in abdominal incisions with primary suture, treat severely contaminated/infected surgical sites and facilitate temporary abdominal cavity closure.

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Intra‐abdominal vacuum‐assisted closure (VAC) after necrosectomy for acute necrotising pancreatitis: preliminary experience

Cited by 17 publications

References 16 publications

Early Management of Severe Acute Pancreatitis

Early Management of Severe Acute Pancreatitis

Acute Pancreatitis

Chinese Trauma Surgeon Association for management guidelines of vacuum sealing drainage application in abdominal surgeries—Update and systematic review

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