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Abdomineller Vakuumsaugverband beim offenen Abdomen [Abdominal vacuum device with open abdomen]

Item Type:Article
Title:Abdomineller Vakuumsaugverband beim offenen Abdomen [Abdominal vacuum device with open abdomen]
Creators Name:Oetting, P. and Rau, B. and Schlag, P.M.
Abstract:BACKGROUND: For the treatment of peritonitis or abdominal compartment syndrome, an open abdomen can be required. Because of the high complication rate associated with this method, different technical modifications were developed that are now being applied. Abdominal vacuum-assisted closure is increasingly favoured. We analyse our experience with this device in a distinct group of patients from gastrointestinal cancer surgery.PATIENTS AND METHOD: From June 2003 to December 2005, 36 patients were treated with 151 double-layer abdominal vacuum devices. Indications for applying this device were peritonitis (n=22), abdominal compartment syndrome (n=11), and necrotising fasciitis (n=3). Thirty-four patients gave anamneses of malignoma.RESULTS: Overall, the vacuum therapy treatment lasted a median of 13 days (range 3-48). With it, four enteric fistulas (11%) and four abdominal wall bleedings (11%) occurred. In our patient group, no new intra-abdominal abscesses were observed. Four patients died during treatment with the vacuum-assisted device and four afterward because of multiple organ failure in acute sepsis (in-hospital mortality 22%). Twenty-six patients (72%) underwent direct fascial closure after a median treatment duration of 10 days. Six patients (17%) required synthetic mesh for fascial closure. After a median follow-up of 100 days, two patients developed ventral hernias and two others showed ossification of the scar.CONCLUSION: Compared with other methods of temporary abdominal closure, our experience with the vacuum-assisted device demonstrates its advantages concerning clinical feasibility and the relatively low complication rate. The high rate of direct fascial closure with an acceptable rate of ventral hernias following vacuum-assisted abdominal closure are further benefits of this technique.
Keywords:Offenes Abdomen [Open abdomen], Temporaerer Bauchdeckenverschluss [Temporary abdominal closure], Abdomineller Vakuumverband [Vacuum-assisted fascial closure], Peritonitis [Peritonitis], Abdominelles Kompartmentsyndrom [Abdominal compartment syndrome], Nekrotisierende Fasziitis [Necrotising fasciitis]
Source:Chirurg
ISSN:0009-4722
Publisher:Springer (Germany)
Volume:77
Number:7
Page Range:586-593
Date:July 2006
Official Publication:https://doi.org/10.1007/s00104-006-1200-9
PubMed:View item in PubMed

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