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Negative Pressure Wound Therapy versus modified Barker Vacuum Pack as temporary abdominal closure technique for Open Abdomen management: a four-year experience.

Authors :
Montori, Giulia
Allievi, Niccolò
Coccolini, Federico
Solaini, Leonardo
Campanati, Luca
Ceresoli, Marco
Fugazzola, Paola
Manfredi, Roberto
Magnone, Stefano
Tomasoni, Matteo
Ansaloni, Luca
Source :
BMC Surgery; 7/21/2017, Vol. 17, p1-6, 6p
Publication Year :
2017

Abstract

<bold>Background: </bold>We reviewed our experience with patients presenting with trauma and peritonitis who underwent an open abdomen (OA) procedure, and compared outcomes between Negative Pressure Wound Therapy (NPWT) and a modified Barker Vacuum Pack (mBVP) technique.<bold>Methods: </bold>In this descriptive study, we retrospectively analyzed data regarding all patients who underwent OA for intra-abdominal sepsis or abdominal trauma at our Centre from January 2012 to December 2015. Demographic data, co-morbidities, indications to surgery, intra-operative details and Björck classification grade were considered. Outcomes included were: time to closure in days, fascial closure rates, ICU and hospital stay, in-hospital and overall mortality, and entero-atmospheric fistula rate.<bold>Results: </bold>A total of 83 cases were considered. Mean closure time was 6 days versus 6.5 days (p = 0.71) in NPWT and mBVP groups, respectively; the fascial closure rate was 75.4% versus 93.8% (p = 0.10). At multivariate analysis, in-hospital and overall mortality were significantly higher within the mBVP, as compared to NPWT (OR 3.8, 95% CI 1.1 to 13.1, p = 0.02 - OR 4.2, 95% CI 1.2 to 14.1, p = 0.01). Entero-atmospheric fistula rate was 2.6% in the two groups.<bold>Conclusions: </bold>NPWT as a temporary abdominal closure technique, as compared to mBVP, appears to be associated with better outcomes in terms of mortality. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
14712482
Volume :
17
Database :
Complementary Index
Journal :
BMC Surgery
Publication Type :
Academic Journal
Accession number :
124401037
Full Text :
https://doi.org/10.1186/s12893-017-0281-3