Negative-pressure wound therapy for critically ill adults with open abdominal wounds

Abstract

Systematic review, level III.

Enteroatmospheric fistulas - the challenge of the open abdomen

“…Our data and the review of the literature do not support the hypothesis for the causative role of the negative pressure (7,13,34,35,39,40).…”

Negative Pressure Wound Therapy in the Prevention of Infectious Wound Complications in Perineal Wound After Abdominoperineal Resection

“…В литературе имеются упоминания о при мене-нии ЛОД при самых различных патологиях: острой травме, ранах различного генеза, термических пора-жениях, остеомиелите, некротизирующем фасциите, пролежнях, гнойных ранах и трофических язвах, ди-абетической стопе, лимфостазе, перитоните, кишеч-ных свищах, абдоминальной травме, несостоятельно-сти кишечных анастомозов и абсцессах малого таза; в челюстно-лицевой, спинальной, торакальной, со-судистой, пластической и реконструктивной хирур-гии, в педиатрии [14,[18][19][20][21][22][23]. Использование специ-альных защитных покрытий, располагаемых между органами брюшной полости и пенополиуретановой губкой, на которую подается отрицательное давление, снижает риски развития таких осложнений, как ише-мия кишечника, кишечные свищи и кровотечения [24][25][26].…”

Prospective Assessment of the Negative Pressure Wound Therapy of the Open Abdomen

“…Assessment of the presence of the fistula, successful closure 5 Wound closure in 7 days 6 Wound closure in 10 days 7 Wound closure in 30 days 8 Over 30 days after the end of hospitalization 4 Wound closure in 7 days 5 Wound closure in 10 days 6 Wound closure in 30 days 7 Over 30 days after the end of hospitalization 6 successful closure of the fistula (primary or resection) 7 successful diversion of the fistula content 8 unsuccessful diversion of the fistula content of the fistula, successful diversion of the fistula, and their stratification based on the indication is shown in the Table VII. Mortality rate of the patients with fistulas is shown in the Table VIII.…”

“…2 Recently published papers showed superiority of NPWT over conventional TAC in patients with OA. 3,4 Because of high variability and relatively small numbers of patients, assessment in terms of evidence based medicine (EBM) is rather uneasy. Pursuit of recommendations based on literary metanalysis 5 is complicated and numerous recommendations are of level B, C, and D by SIGN metodology.…”