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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.
- 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]
- Subjects :
- NEGATIVE-pressure wound therapy
PERITONITIS
INTRA-abdominal pressure
SURGICAL emergencies
PATIENT monitoring
ABDOMINAL surgery
ABDOMINAL injuries
COMPARATIVE studies
FISTULA
LENGTH of stay in hospitals
RESEARCH methodology
MEDICAL cooperation
RESEARCH
OPERATIVE surgery
VACUUM
EVALUATION research
RETROSPECTIVE studies
Subjects
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