Prospective Evaluation of Vacuum-Assisted Fascial Closure After Open Abdomen

Miller, Preston R.; Meredith, J. Wayne; Johnson, James C.; Chang, Michael

doi:10.1097/01.sla.0000124291.09032.bf

Cited by 287 publications

(165 citation statements)

References 20 publications

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“…The review of 18 series with overall 1395 patients managed by OA and V.A.C. revealed a mean rate of EAFs 6.1% (Table 2), (4,8,14,17,19,20,(26)(27)(28)(29)31,32,(36)(37)(38)42,45,47), which is comparable to 7.2% in our series.…”

Section: Discussionsupporting

confidence: 56%

Enteroatmospheric fistulas - the challenge of the open abdomen

Mutafchiyski

Popivanov

Kjossev

et al. 2015

SSM

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INTRODUCTION:In the past two decades, the open abdomen (OA) technique has gained wide popularity as an effective approach in the cases with severe peritonitis, abdominal compartment syndrome and critical trauma. However, it is still associated with high complication rate. Enteroatmospheric fistulas are the most devastating complication. Despite the numerous techniques described in the literature, their management remains a challenging task.

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Section: Discussionsupporting

confidence: 56%

Enteroatmospheric fistulas - the challenge of the open abdomen

Mutafchiyski

Popivanov

Kjossev

et al. 2015

SSM

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“…The introduction of negative pressure therapy with the home-made so called VAC-PAC method was pioneered in Philadelphia [37], and was later developed further into the Abdominal V.A.C system, a commercially available dressing (KCI, San Antonia, TX, USA). This system, also labeled VAWC was associated with high closure rates in cohorts of mostly young trauma victims from the USA [27,38]. Many researchers who started to use the VAWC system on emergency surgical care patients, often elderly patients suffering from pancreatitis, septic abdomen or vascular catastrophes, found that this system alone was not sufficient to be able to close the abdomen after the often longer periods of treatment with open abdomen that is required in such patients.…”

Section: Combining Fascial Approximation and Npt -A Solution?mentioning

confidence: 99%

“…Barker in 2000 [26] reported closure rates of 55% using this technique; the enteric fistula rate was 4%. In 2004, Miller et al [27] published a report to examine the success of vacuum-assisted fascial closure (VAFC) under a carefully applied protocol in abdominal closure after open abdomen. It concluded that the use of VAFC under a carefully defined protocol has resulted in significantly higher fascial closure rates, obviating the need for subsequent hernia repair in most patients.…”

Section: Temporary Abdominal Closurementioning

confidence: 99%

How to deal with an open abdomen?

Waele¹,

Kaplan²,

Sugrue³

et al. 2015

Anaesthesiol Intensive Ther

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Appropriate open abdomen treatment is one of the key elements in the management of patients who require decompressive laparotomy or in whom the abdomen is left open prophylactically. Apart from fluid control and protection from external injury, fluid evacuation and facilitation of early closure are now the goals of open abdomen treatment. Abdominal negative pressure therapy has emerged as the most appropriate method to reach these goals. Especially when combined with strategies that allow progressive approximation of the fascial edges, high closure rates can be obtained. Intra-abdominal pressure measurement can be used to guide the surgical strategy and continued attention to intra-abdominal hypertension is necessary. This paper reviews recent advances as well as identifying the remaining challenges in patients requiring open abdomen treatment. The new classification system of the open abdomen is an important tool to use when comparing the efficacy of different strategies, as well as different systems of temporary abdominal closure.

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“…After that, the deliberately created ventral hernia is repaired 6-12 mo later. The above situation has been changed considerably with the introduction of vacuum application and biological prosthetic material [1][2][3][4][5] . Until recently, the practice was to discharge patients with an open fascia and partially closed skin.…”

Section: To the Editormentioning

confidence: 99%

“…It is reported that by using vacuum methods, fascial defects are reduced sufficiently to be closed [1][2][3][4] . It is also reported that in cases where closure is inadequate, by using acellular dermis, patients can be sent home without a fascial defect [5] .…”

Section: To the Editormentioning

confidence: 99%

Use of chorioamniotic membrane instead of bogota bag in open abdomen: How I Do It?

Tekin

Tekın²,

Küçükkartallar³

et al. 2008

WJG

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I t i s o n e o f t h e m o s t i m p o r t a n t p r o b l e m s f o rgeneral surgeons to decide which operation should be undertaken on patients with intra-abdominal infection, especially those with concomitant abdominal hypertension. Recentlly, closure techniques using prosthetic meshes in order to retain abdominal tension and to control sepsis have become very popular for patients with abdominal sepsis and hypertension. We used chorioamniotic membrane instead of plastic material to cover the open abdomen. We conclude that human chorioamniotic membrane prepared under sterile conditions may be an alternative to conventional plastic bags in daily practice, for preventing serosal erosion and fistulas in patients undergoing open abdominal surgery.

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Prospective Evaluation of Vacuum-Assisted Fascial Closure After Open Abdomen

Cited by 287 publications

References 20 publications

Enteroatmospheric fistulas - the challenge of the open abdomen

Enteroatmospheric fistulas - the challenge of the open abdomen

How to deal with an open abdomen?

Use of chorioamniotic membrane instead of bogota bag in open abdomen: How I Do It?

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