Experience with Vacuum-Pack Temporary Abdominal Wound Closure in 258 Trauma and General and Vascular Surgical Patients

Barker, Donald E.; Green, John M.; Maxwell, Robert A.; Smith, Philip W.; Mejia, Vicente A.; Dart, Benjamin W.; Cofer, Joseph B.; Roe, Sandra; Burns, Robert P.

doi:10.1016/j.jamcollsurg.2006.12.039

Cited by 175 publications

(158 citation statements)

References 34 publications

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“…Barker et al [4] reported their 15 years experience using a locally designed vacuum-pack system in 258 patients (116 trauma and 142 general and vascular surgery). Primary closure was achieved in 68% and they reported a 5% fistula rate.…”

Section: Discussionmentioning

confidence: 99%

“…We believe patients who would benefit most from the use of this technique are: (1) Patients with anastomotic leak and iatrogenic bowel injuries; (2) Damage control for unstable patients, particularly in the presence of hypothermia, severe acidosis or coagulopathy [20] ; (3) Bowel and or abdominal wall oedema making closure difficult [19] ; (4) Source of sepsis not identified [15] ; (5) Sepsis not fully controlled [4] ; (6) Doubtful tissue viability requiring a further look [20] ; and (7) Severe faecal peritonitis, particularly if delayed primary anastomosis can be considered at a second look [2] .…”

Section: Discussionmentioning

confidence: 99%

“…This can be achieved by leaving the abdomen open at the index operation [3] . While this concept of a planned second look following major abdominal trauma is well recognised [4] , its use following abdominal catastrophe due to severe peritonitis remains controversial [3] . Several different techniques have been tried to facilitate a second look [4][5][6] .…”

Section: Introductionmentioning

confidence: 99%

“…While this concept of a planned second look following major abdominal trauma is well recognised [4] , its use following abdominal catastrophe due to severe peritonitis remains controversial [3] . Several different techniques have been tried to facilitate a second look [4][5][6] . Recently, topical negative pressure (TNP) with the VAC ® Abdominal Dressing System was introduced [3,7] .…”

Section: Introductionmentioning

confidence: 99%

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Topical negative pressure in managing severe peritonitis: A positive contribution?

Amin¹,

Shaikh²

2009

WJG

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Topical negative pressure in managing severe peritonitis: A positive contribution?

Amin¹,

Shaikh²

2009

WJG

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“…[9] Damage control surgery comprises three stages, namely: (i) control of bleeding and temporary closure of the abdomen; (ii) aggressive resuscitation while attempting to correct the acidosis, hypothermia and coagulopathy; and (iii) return to the operating theatre for more definitive treatment and closure of the abdominal wall once the patient has been stabilised. [10][11][12] The patient developed an acute kidney injury, for which she had many risk factors. Her baseline renal function was normal.…”

Section: Discussionmentioning

confidence: 99%

Postoperative internal iliac artery embolisation as salvage therapy for bleeding in an HIV-positive patient with giant cell tumour of bone

et al. 2015

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Giant cell tumour of bone (GCTB) is a highly vascular tumour, sporadically complicated by massive bleeding during surgery. We report a rare case of GCTB in an HIV-positive patient who suffered massive blood loss intra-and postoperatively. The patient was a 46-year-old HIV-positive female with symptoms and signs of a pelvic mass, and ultrasound evidence of an ovarian mass. Surgery was performed, and a highly vascular retroperitoneal mass originating from her sacrum was identified. Massive blood loss occurred, which required aggressive resuscitation and transfusion of blood products. Damage control surgery was performed, and bleeding was ultimately only controlled postoperatively using bilateral internal iliac artery radiological embolisation. The patient suffered acute kidney injury, which was multifactorial in aetiology, which recovered within 6 days. She was discharged from ICU in a stable condition 7 days postoperatively.

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Temporary abdominal closure in oncological patients: Surgical characteristics and implications

Szor,

Pinto,

Obregon

et al. 2024

Journal of Surgical Oncology

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Background and ObjectivesIn critically ill patients, temporary abdominal closure (TAC) is utilized for conditions like abdominal compartment syndrome risk, gross abdominal contamination, and intestinal loop viability doubts. TAC techniques aim to safeguard abdominal contents, drain intraperitoneal fluids, and minimize fascia and skin damage. Our goal is to outline clinical characteristics and surgical outcomes in oncological patients undergoing peritoneostomy.MethodsPatients undergoing TAC with vacuum therapy at a tertiary oncological center were studied, with data sourced from an institutional database.ResultsForty‐seven patients (54.3% female), with an average age of 63.1 ± 12.3 years, were included in the study. The primary tumor site was predominantly gastrointestinal (78.2%). Patients presented systemic signs of chronic disease, reflected by a mean body mass index of 18.2 ± 7.6 kg/m², hemoglobin level of 9.2 ± 1.8 g/dL, and albumin level of 2.3 ± 0.6 g/dL. Additionally, most patients had a low‐performance status (53% Eastern Cooperative Oncology Group 1/2, 44.8% Karnofsky score ≤80, and 61.2% Charlson Comorbidity Index ≥6). Emergency surgical complications were the main reasons for initial surgery (68%), with the majority attributed to fecal peritonitis (65.9%). Only 14.8% of patients achieved complete abdominal closure with an average of 24.8 days until closure. The in‐hospital mortality rate was 85.2%.ConclusionTAC is an alternative for oncological patients with surgical complications, but it carries a high mortality rate due to the compromised conditions of the patients.

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Experience with Vacuum-Pack Temporary Abdominal Wound Closure in 258 Trauma and General and Vascular Surgical Patients

Cited by 175 publications

References 34 publications

Topical negative pressure in managing severe peritonitis: A positive contribution?

Topical negative pressure in managing severe peritonitis: A positive contribution?

Postoperative internal iliac artery embolisation as salvage therapy for bleeding in an HIV-positive patient with giant cell tumour of bone

Temporary abdominal closure in oncological patients: Surgical characteristics and implications

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