Direct Peritoneal Resuscitation in Trauma Patients Results in Similar Rates of Intra-Abdominal Complications

The temporary abdominal closure techniques used for trauma patients: a systematic review and meta-analysis

“…A total of 1,065 relevant publications were identified during our initial literature search. Of these, 2 randomized controlled studies [ 18 19 ], 29 retrospective observational studies [ 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 ], and 6 prospective observational studies [ 49 50 51 52 53 54 ] that were published between 1990 and 2022 met the inclusion criteria; these studies included a total of 2,582 patients ( Table 2 ). The study selection process is depicted in Fig.…”

“…Although all the studies evaluated post-trauma patients, we identified various indications for TAC, including post-DCS, primary and secondary ACS, peritonitis, planned reoperation, necrotizing fasciitis, necrotizing pancreatitis, and abdominal wall defects. Vacuum closure was the most common TAC category used in 1,620 patients (73.3%, 23 studies) [ 18 19 23 32 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 51 52 53 54 ] followed by patch closure in 602 patients (27.3%, 16 studies) [ 20 22 23 24 25 26 27 28 29 30 31 32 33 34 49 50 ] and skin-only closure in 360 patients (16.3%, 4 studies) [ 20 21 22 23 ]. DT was used in 163 patients (6.3%, 7 studies) [ 32 33 34 43 44 45 50 ], whereas the rest used ST.…”

“…A total of 31 studies presented in-hospital mortality rates [ 20 21 22 23 24 25 26 27 28 29 30 31 33 34 35 36 37 38 39 40 41 42 43 44 46 48 49 50 51 52 53 ]. The lowest weighted in-hospital mortality rate was observed with the use of vacuum closure (13%; 95% CI, 6%–19%), whereas the highest rates were seen within the skin-only category (35%; 95% CI, 7%–68%) ( Table 3 ).…”

“…Overall, 31 studies reported DFC rates [ 18 19 21 23 24 25 26 27 28 29 32 33 34 35 36 37 38 39 40 41 43 44 45 47 48 49 50 51 52 53 54 ]. The highest weighted rate was observed in the skin-only group (96%; 95% CI, 93%–99%), whereas the lowest weighted rate was observed in the patch closure group (64%; 95% CI, 50%–78%) ( Table 4 ).…”

“…A total of 29 studies evaluated intraabdominal complications [ 18 19 21 23 24 27 28 29 31 32 33 34 35 36 37 38 39 40 41 43 44 45 46 48 50 51 52 53 54 ]. Patch closure showed the highest weighted incidences of EF (5%; 95% CI, 2%–9%), VH (16%; 95% CI, 1%–32%), and PA (18%; 95% CI, 6%–30%) ( Tables 5 , 6 , 7 ).…”