The open abdomen and temporary abdominal closure systems – historical evolution and systematic review

Quyn, Aaron; Johnston, Chris J. C.; Hall, Donald W.; Chambers, AC; Arapova, N; Ogston, Simon; Amin, Ashok R.

doi:10.1111/j.1463-1318.2012.03045.x

Cited by 155 publications

(155 citation statements)

References 95 publications

(268 reference statements)

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“…Para la WSACS: "la laparotomía de control de daños implica un enfoque quirúrgico de reanimación, con el objeto de lograr un control rápido de la hemorragia y la contaminación, con restauración de la función metabólica a expensas de la anatomía normal" [1][2][3][4]44 . A la cirugía de control de daños se la ha denominado con distintas terminologías; las más difundidas y aceptadas son: "cirugía de reparación por etapas", "laparotomía abreviada", "abdomen abierto" y "reoperación planeada" 35,[38][39][40][41][42][43][44][45][46][47] . Esta táctica implica varias fases entrelazadas de tal forma que su ejecución secuencial es imprescindible para el normal desarrollo de la estrategia.…”

Section: Definiciónunclassified

Manejo Del Abdomen Abierto: Desde La Operación Inicial Al Cierre Definitivo

Latif¹

2017

Rev Argent Cirug

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Section: Definiciónunclassified

Manejo Del Abdomen Abierto: Desde La Operación Inicial Al Cierre Definitivo

Latif¹

2017

Rev Argent Cirug

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“…DISCUSSION Use of NPWT in patients with OA showed its superiority over conventional techniques of temporary abdominal closure in a number of studies. 3,4 This paper is an extension of prospectively assessed group of patients, started in our paper, that similarly showed lowering of mortality and morbidity in patients, where NPWT was used for treatment of OA. 7 In this paper we assessed prospectively 27 patients, after continuation No matter what type of sequential mechanism for closure of OA is used, whether these are dynamic compression sutures (DCS), static compression sutures (SCS), polypropylene meshes in terms of SMAC -sandwich mesh abdominal closure, 10 or commercially made systems (ABRA system, Canica Medical Products Inc., Ontario, Canada), they showed significantly higher ratio of possible fascia closure in patients with OA.…”

Section: Frommentioning

confidence: 99%

“…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.…”

mentioning

confidence: 99%

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

Bartko

Prochotský

Sekac

et al. 2016

NPWTJ

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Abstract-Open abdomen (OA) is a surgical approach, that emerged in last 15 years, with its management being complicated, timely and financially demanding, burdened with high morbidity and mortality. In recent years, several publications proved superiority of usage of negative pressure wound therapy (NPWT) over usage of conventional temporary abdominal closure techniques in treatment of open abdomen. Different aspects of treatment of OA with NPWT remain to be assessed and stated.Authors of the paper prospectively assessed group of 48 patients with OA, managed by one surgeon with NPWT between 2006-2014, assessing mortality and morbidity in the group stratified by indication for OA, type of sequential closure of OA, presence and management of concomitant enteroatmospheric fistula (EAF), maximal values of C-reactive protein (CRP) and Procalcitonine (PCT), and initial body mass index (BMI).Mortality of the whole group was 35.41%, rate of fascial closure 45.83% and rate of the wound closure 83.33%. Incidence of the fistula was 37.5%, of these 66.67% were successfully locally managed. Incidence of fascial closure without use of sequential closure was significantly lower as opposed to use of different techniques of sequential closure. Unsuccessful local management of EAF is significant predictor of mortality. All other data were not found to be statistically significant.Identifying specific aspects of treatment of OA by NPWT, significantly improving outcomes, and adhering to these aspects in clinical practice will further ameliorate outcomes.

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“…[12] . The capacity of tissues for healing without tension depends on wound-related factors and the patient's general condition [11] .…”

Section: Intentional (Planned) Acute Poawmentioning

confidence: 99%

“Acute postoperative open abdominal wall”: Nosological concept and treatment implications

López-Cano

Pereira

Armengol

2013

WJGS

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The so-called "burst abdomen" has been described for many years and is a well-known clinical condition, whereas the concept of the "open abdomen" is relatively new. In clinical practice, both nosological entities are characterized by a complex spectrum of symptoms apparently disconnected, which in many cases poses a great challenge for surgical repair. In order to assess the management of these disorders in a more comprehensive and integral fashion, the concept of "acute postoperative open abdominal wall" (acute POAW) is presented, which in turn can be divided into "intentional" or planned acute POAW and "unintentional" or unplanned POAW. The understanding of the acute POAW as a single clinical process not only allows a better optimization of the therapeutic approach in the surgical repair of abdominal wallrelated disorders, but also the stratification and collection of data in different patient subsets, favoring a better knowledge of the wide spectrum of conditions involved in the surgical reconstruction of the abdominal wall.

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The open abdomen and temporary abdominal closure systems – historical evolution and systematic review

Cited by 155 publications

References 95 publications

Manejo Del Abdomen Abierto: Desde La Operación Inicial Al Cierre Definitivo

Manejo Del Abdomen Abierto: Desde La Operación Inicial Al Cierre Definitivo

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

“Acute postoperative open abdominal wall”: Nosological concept and treatment implications

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