Quality of life and hernia development 5 years after open abdomen treatment with vacuum-assisted wound closure and mesh-mediated fascial traction

Petersson, Ulf; Bjarnason, Thordur; Björck, Martin; Montgomery, Agneta; Rogmark, Peder; Svensson, Mats; Sörelius, Karl; Acosta, Stefan

doi:10.1007/s10029-016-1516-4

Cited by 19 publications

(36 citation statements)

References 28 publications

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“…The incisional hernia rate ranged from 21% at 21 months follow up to 54% at 63 months of follow up. The incisional hernia repair rate was 42% [15] and 33% [14] in the two large prospective studies, respectively. The study patients reported lower short form health survey (SF-36) scores than the mean reference population, mainly dependent on the prevalence of major co-morbidity [14].…”

Section: Study Characteristics Of Long-term Outcome Studiesmentioning

confidence: 92%

“…The incisional hernia repair rate was 42% [15] and 33% [14] in the two large prospective studies, respectively. The study patients reported lower short form health survey (SF-36) scores than the mean reference population, mainly dependent on the prevalence of major co-morbidity [14]. Quality of life measured with the SF-36 questionnaire and abdominal wall specific complaints measured with a modified ventral hernia pain questionnaire (VHPQ) (Fig.…”

Section: Study Characteristics Of Long-term Outcome Studiesmentioning

confidence: 92%

“…Examination of the abdominal wall with CT will inevitably lead to a higher incidence than clinical examination alone [38], and the three studies reporting incisional hernias at long-term follow up after VAWCM in this review differ in their examination methods. More importantly, the only study reporting quality of life at long-term follow up [14] with the Short Form (36) Health Survey (SF-36) showed that quality of life was lower for long-term survivors after open abdomen than the mean reference population for the overall and component scores, mainly a result of the presence of a major co-morbidity and not the actual presence of an incisional hernia. Abdominal wall-specific complaints obtained from a slightly modified version of the validated ventral hernia pain questionnaire (VHPQ), were deemed equivalent in patients with and without incisional hernia.…”

Section: Discussionmentioning

confidence: 99%

“…Quality of life measured with the SF-36 questionnaire and abdominal wall specific complaints measured with a modified ventral hernia pain questionnaire (VHPQ) (Fig. 3) were only measured in one study [14], and showed no differences in scores between patients with versus those without an incisional hernia at 5 years of follow up. …”

Section: Study Characteristics Of Long-term Outcome Studiesmentioning

confidence: 99%

“…In 2007, the first report of a modified technique combining vacuum-assisted wound closure with mesh-mediated fascial traction (VAWCM) for long-term therapy of the open abdomen was published [5]. Since then, several centres have adopted this technique and reported their experiences [6][7][8][9][10][11][12][13][14][15]. The aim of this systematic review was to report the short-term and long-term results for the VAWCM technique.…”

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confidence: 99%

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Vacuum-assisted wound closure and mesh-mediated fascial traction for open abdomen therapy — a systematic review

Acosta¹,

Björck²,

Petersson³

2017

Anaesthesiol Intensive Ther

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Background: The aim of this paper was to review the literature on vacuum-assisted wound closure and mesh-mediated fascial traction (VAWCM) in open abdomen therapy. It was designed as systematic review of observational studies. Methods: A Pub Med, EMBASE and Cochrane search from 2007/01-2016/07 was performed combining the Medical Subject Headings "vacuum", "mesh-mediated fascial traction", "temporary abdominal closure", "delayed abdominal closure", "open abdomen", "abdominal compartment syndrome", "negative pressure wound therapy" or "vacuum assisted wound closure". Results: Eleven original studies were found including patients numbering from 7 to 111. Six studies were prospective and five were retrospective. Nine studies were on mixed surgical (n = 9), vascular (n = 6) and trauma (n = 6) patients, while two were exclusively on vascular patients. The primary fascial closure rate per protocol varied from 80-100%. The time to closure of the open abdomen varied between 9-32 days. The entero-atmospheric fistula rate varied from 0-10.0%. The in-hospital survival rate varied from 57-100%. In the largest prospective study, the incisional hernia rate among survivors at 63 months of median follow-up was 54% (27/50), and 16 (33%) repairs out of 48 incisional hernias were performed throughout the study period. The study patients reported lower short form health survey (SF-36) scores than the mean reference population, mainly dependent on the prevalence of major co-morbidities. There was no difference in SF-36 scores or a modified ventral hernia pain questionnaire (VHPQ) at 5 years of follow up between those with versus those without incisional hernias. Conclusions: A high primary fascial closure rate can be achieved with the vacuum-assisted wound closure and meshmediated fascial traction technique in elderly, mainly non-trauma patients, in need of prolonged open abdomen therapy.

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Section: Study Characteristics Of Long-term Outcome Studiesmentioning

confidence: 92%