Abstract:Patients requiring temporary abdominal closure have a significant in-hospital mortality rate of 33%. Delayed primary closure with vacuum assistance was achieved for 71.9% of the surviving patients. Maintaining a negative or total positive fluid balance of less than 20 L before the last attempted fascial closure improves successful closure rates, as seen in 19 of 22 patients (86.4%). The vacuum-assisted closure technique also enabled successful primary closure for two patients with extreme delay (>8 days). Elev… Show more
“…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.…”
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.
“…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.…”
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.
“…Si bien el packing para el control del sangrado severo en el traumatismo hepático (Pringle) y en otras lesiones abdominales (Halsed) se conocen desde los años 1900 y 1912, respectivamente, el desarrollo y la difusión de la cirugía de control del daño se producen hacia finales de la década del 80 gracias a Stone en Atlanta y, principios de los 90, a Bruch en Houston 17 . Aunque la adaptación del término "control de daño" al campo del trauma puede ser acreditado a Schwab y cols.…”
Section: Cirugía De Control De Dañosunclassified
“…(1983) cuando se llega a esta instancia "ya es tarde" 17 . Evitar la hipotermia, compensar el medio interno (acidosis metabólica) y seguir reponiendo la volemia son los aspectos para componer desde el momento del trauma, hasta su ingreso en la sala de emergencias.…”
Section: ¿Cuáles Son Las Etapas Para Seguir?unclassified
“…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] .…”
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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