Document Detail

Early results after treatment of open abdomen after aortic surgery with mesh traction and vacuum-assisted wound closure.
MedLine Citation:
PMID:  20359914     Owner:  NLM     Status:  MEDLINE    
OBJECTIVES: This study aimed to describe the use of vacuum-assisted wound closure (VAWC) and mesh traction to repair an open abdomen after aortic surgery. DESIGN: Prospective clinical study. MATERIAL AND METHODS: From October 2006 to April 2009, nine consecutive patients were treated; seven of the patients received laparostomy following abdominal compartment syndrome (ACS), while two wounds were left open initially. The indication for laparostomy was intra-abdominal pressure (IAP) > 20 mmHg or abdominal perfusion pressure (APP) < 60 mmHg and development of organ failure. V.A.C. therapy (KCI, San Antonio, TX, USA) was initiated with the laparostomy, and supplemented with a fascial mesh after 2 days. The wound was then closed stepwise with mesh traction and VAWC. RESULTS: All wounds could be closed following a median interval of 10.5 (range: 6-19) days after laparostomy. A median of four (range: 2-7) dressing changes were performed. One patient died on the seventh postoperative day. Two other patients died 38 and 50 days after final closure, respectively. Left colonic necrosis was seen in two patients while incisional hernia was observed in two patients. Mean follow-up duration was 17 (range: 2-36) months. CONCLUSION: VAWC with mesh traction was successful in terms of early delayed primary closure and is a useful tool in the treatment of open abdomen after aortic surgery.
A Seternes; H O Myhre; T Dahl
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Publication Detail:
Type:  Journal Article     Date:  2010-03-31
Journal Detail:
Title:  European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery     Volume:  40     ISSN:  1532-2165     ISO Abbreviation:  Eur J Vasc Endovasc Surg     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-06     Completed Date:  2010-08-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9512728     Medline TA:  Eur J Vasc Endovasc Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  60-4     Citation Subset:  IM    
Copyright Information:
Copyright 2010 European Society for Vascular Surgery. Published by Elsevier Ltd. All rights reserved.
Department of Vascular Surgery, St. Olavs Hospital, Trondheim, Norway.
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MeSH Terms
Aged, 80 and over
Aortic Aneurysm, Abdominal / surgery
Aortic Aneurysm, Thoracic / surgery
Aortic Diseases / mortality,  surgery*
Aortic Rupture / surgery
Compartment Syndromes / etiology*,  mortality,  surgery*
Decompression, Surgical*
Middle Aged
Negative-Pressure Wound Therapy* / adverse effects,  mortality
Prospective Studies
Surgical Mesh*
Time Factors
Traction / adverse effects,  instrumentation*,  mortality
Treatment Outcome
Vascular Surgical Procedures / adverse effects*,  mortality
Wound Healing*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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