Le Vacuum Assisted Closure : utilité dans le traitement des plaies abdomino-périnéales complexes

Vacuum‐assisted closure of laparostomy wounds: a critical review of the literature

“…The open abdomen remains a complex clinical problem for critically ill patients within surgical critical care units, the dressing of which represents only one of a multitude of prognostic factors. Cumulative observational evidence (44–49) indicates withdrawal of this technology from our practice would be inadvisable without clear evidence against its use.…”

“…However, the lack of a comparison group prevents objective evaluation of effect from the variable of interest and authors' inferences are therefore biased by pre‐established expectations. Identified case series are summarised in Table 3 as level IV evidence (clinical experience of respected authorities) only to add weight to conclusions of those from the documented comparative studies (44–49). A few, however, require specific attention to methodological errors.…”

Combing a novel device and negative pressure wound therapy for managing the wound around a colostomy in the open abdomen

“…[6] Patient who was treated with open abdomen wounds for planned serial re-explorations or for abdominal compartment syndrome benefited from temporary abdominal closure with NPWT. [7,8] However, there are several reports suggest a higher fistula rate when NPWT is used to treat the OA. [9,10] Also there was a case reported the wall of the bowel could become necrotic if the high pressure suction applied on the foam at the middle of the wound.…”