Prognostic Factors for Enteroatmospheric Fistula in Open Abdomen Treated with Negative Pressure Wound Therapy: a Multicentre Experience

Giudicelli, Guillaume; Rossetti, Alfonso; Scarpa, Cosimo Riccardo; Buchs, Nicolas; Hompes, Roel; Guy, Richard; Ukegjini, Kristjan; Morel, Philippe; Ris, Frédéric; Adamina, Michel

doi:10.1007/s11605-017-3453-7

Cited by 26 publications

(20 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a multicenter prospective study of non‐trauma OA by Bruns et al ., 9 the rate of 6‐month mortality was 64%, which was significantly high, in patients aged ≥80 years. Another multicenter survey of non‐trauma OA revealed a 1‐year mortality of 33%, but that study included patients younger than those in our study; the mean age was 62.7 years 19 …”

Section: Discussionmentioning

confidence: 76%

“…Another multicenter survey of non-trauma OA revealed a 1-year mortality of 33%, but that study included patients younger than those in our study; the mean age was 62.7 years. 19 Some researchers have evaluated the long-term functional outcome of OA. Kriwanek et al, using the 36-item short form survey (SF-36) to evaluate long-term physical functional outcomes, interviewed surviving non-trauma patients with OA, aged 50-60 years.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Preoperative physical functional status affects the long‐term outcomes of elderly patients with open abdomen

Okada

Hifumi

Kiriu

et al. 2020

Acute Medicine & Surgery

View full text Add to dashboard Cite

The mortality rates among elderly patients with open abdomen (OA) are high, and pre-existing comorbidities could affect the outcomes. However, long-term prognosis remains uncertain. We examined long-term outcomes in elderly patients with OA, focusing on physical functional status. Methods: We undertook a retrospective cohort study between 2007 and 2017 at a single institution. Patients with OA who were aged ≥65 years were categorized into two groups: "good preoperative functional status" group (GFG) and "poor preoperative functional status" group (PFG). The GFG was defined as Eastern Cooperative Oncology Group/World Health Organization performance status (PS) 0-1, whereas PFG was defined as PS 2-4. The primary outcomes were survival and PS 2 years following the initial surgery. Results: Of the 53 participants, 38 and 15 were assigned to the GFG and PFG, respectively. The PFG (median age, 81 years) was older than the GFG (median age, 75.5 years; P = 0.040). The 2-year survival rate was 39.5% in GFG and 6.7% in PFG, and Kaplan-Meier analysis showed significant difference (P = 0.022). Among all patients, the PS at 2 years was worse than that at discharge (P = 0.007). Preoperative PS was correlated with 2-year survival (P = 0.003), whereas age and pre-existing comorbidities were not. Conclusion: The long-term outcomes of elderly patients with OA are affected by the preoperative physical functional status. Functional status deteriorates in a time-dependent manner. Therefore, surgery requiring OA must be carefully considered for elderly patients with PS 2 or higher.

show abstract

Section: Discussionmentioning

confidence: 76%

Section: Discussionmentioning

confidence: 99%

Preoperative physical functional status affects the long‐term outcomes of elderly patients with open abdomen

Okada

Hifumi

Kiriu

et al. 2020

Acute Medicine & Surgery

View full text Add to dashboard Cite

show abstract

“…In 1995, Qiu et al applied abdominal VSD for the rst time in China [3]. Later, many studies have shown that VSD is effective in controlling abdominal infection, clearing abscess and shortening healing time [4,5,6].…”

Section: Discussionmentioning

confidence: 99%

Novel Blake drain with negative pressure in pediatric laparoscopic surgeries

Gu¹,

Li²,

Wang³

2021

Preprint

View full text Add to dashboard Cite

Background：A drainage tube is generally retained after an abdominal surgery, especially in cases of postoperative bleeding or exudation. In recent years, negative pressure drainage or vacuum sealing drainage (VSD) has been extensively applied. However, the use of VSD in laparoscopic surgery is still challenging and has been rarely reported. Purpose: To introduce a novel Blake drain applied with negative pressure in laparoscopic surgeries. Materials/Methods: Two bar-shaped cuts were made at the end of the drainage tube, with one deeper than the other, and there were no other side holes retained. Thirty patients aged 4-8 years in novel drainage tube (NDT) group received the novel VSD after laparoscopic appendectomy or laparoscopic pyeloplasty, while those in the control traditional drainage tube (TDT) group received traditional drainage using the tube bearing side holes. Results：Tissue plugging and other complications were not observed in patients of NDT group. Significant differences were found in volume of drainage and cases of tissue plugging between NDT and TDT groups (P<0.05). Conclusions: The novel technique is simple, safe and effective for VSD following laparoscopic surgery. It can prevent plugging of soft tissues into the tube and improve drainage effect.

show abstract

“…A total of 26 articles were included, of which 3 were RCTs 20 , 71 , 72 and 23 were observational studies and case series. 26 , 50 , 64 , 71 , 72 , 73 , 74 , 75 , 76 , 77 , 78 , 79 , 80 , 81 , 82 , 83 , 84 , 85 , 86 , 87 , 88 , 89 , 90 …”

Section: Recommendationsmentioning

confidence: 99%

“…Multiple observational studies on the use of VSD for retroperitoneal space infections with different causes have shown that VSD can control early local infection, keep the abscess clean, promote collapse of the abscess, shorten healing time, reduce local complications, and reduce VSD-related complications 73, 74, 75. Tao et al 76 .…”

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

View full text Add to dashboard Cite

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.

show abstract

Prognostic Factors for Enteroatmospheric Fistula in Open Abdomen Treated with Negative Pressure Wound Therapy: a Multicentre Experience

Abstract: Mesenteric ischaemia increases the risk of enteroatmospheric fistulae. Anastomosis should only be created in revascularized patients. When mesenteric vascularization is not restored, diversion is advised.

Cited by 26 publications

References 27 publications

Preoperative physical functional status affects the long‐term outcomes of elderly patients with open abdomen

Preoperative physical functional status affects the long‐term outcomes of elderly patients with open abdomen

Novel Blake drain with negative pressure in pediatric laparoscopic surgeries

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

Contact Info

Product

Resources

About