219 results match your criteria Temporary Abdominal Closure Techniques


Effects of Early Altitude Exposure on the Open Abdomen After Laparotomy in Trauma.

Mil Med 2019 Mar 6. Epub 2019 Mar 6.

Department of Surgery, College of Medicine, University of Cincinnati, Section of General Surgery, OH.

Introduction: While damage control surgery and resuscitation techniques have revolutionized the care of injured service members who sustain severe traumatic hemorrhage, the physiologic and inflammatory consequences of hemostatic resuscitation and staged abdominal surgery in the face of early aeromedical evacuation (AE) have not been investigated. We hypothesized that post-injury AE with an open abdomen would have significant physiologic and inflammatory consequences compared to AE with a closed abdomen.

Materials And Methods: Evaluation of resuscitation and staged abdominal closure was performed using a murine model of hemorrhagic shock with laparotomy. Read More

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http://dx.doi.org/10.1093/milmed/usz034DOI Listing
March 2019
4 Reads

Outcomes of selective nonoperative management of civilian abdominal gunshot wounds: a systematic review and meta-analysis.

World J Emerg Surg 2018 27;13:55. Epub 2018 Nov 27.

Division of Vascular and Endovascular Surgery, Department of Surgery, University of Ottawa, The Ottawa Hospital, Civic Campus, Room A280, 1053 Carling Avenue, Ottawa, Ontario K1Y 4E9 Canada.

Background: Although mandatory laparotomy has been standard of care for patients with abdominal gunshot wounds (GSWs) for decades, this approach is associated with non-therapeutic operations, morbidity, and long hospital stays. This systematic review and meta-analysis sought to summarize outcomes of selective nonoperative management (SNOM) of civilian abdominal GSWs.

Methods: We searched electronic databases (March 1966-April 1, 2017) and reference lists of articles included in the systematic review for studies reporting outcomes of SNOM of civilian abdominal GSWs. Read More

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http://dx.doi.org/10.1186/s13017-018-0215-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260713PMC
February 2019
3 Reads
1.062 Impact Factor

Open abdomen and entero-atmospheric fistulae: An interim analysis from the International Register of Open Abdomen (IROA).

Injury 2019 Jan 24;50(1):160-166. Epub 2018 Sep 24.

Virginia Commonwealth University, Richmond, Virginia, USA.

Introduction: No definitive data describing associations between cases of Open Abdomen (OA) and Entero-atmospheric fistulae (EAF) exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) thus analyzed the International Register of Open Abdomen (IROA) to assess this question.

Material And Methods: A prospective analysis of adult patients enrolled in the IROA. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183054
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http://dx.doi.org/10.1016/j.injury.2018.09.040DOI Listing
January 2019
22 Reads
2.140 Impact Factor

Improvised Laparostomy Pack to Manage Laparostomy for Injuries due to Improvised Explosive Devices (IEDs).

J Coll Physicians Surg Pak 2018 Oct;28(10):791-793

Department of Surgery, Combined Military Hospital (CMH), Quetta, Pakistan.

Splinters of improvised explosive devices [IEDs] cause multiple intestinal perforations and random pattern visceral injuries causing contamination of peritoneal cavity. This necessitates multiple peritoneal toilets and relook surgeries. Surgical management is to perform laparostomy to avoid life threatening complication, like abdominal compartment syndrome and fulminant sepsis. Read More

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http://dx.doi.org/3023DOI Listing
October 2018
3 Reads

"Complex abdominal wall" management: evidence-based guidelines of the Italian Consensus Conference.

Updates Surg 2018 Sep 25. Epub 2018 Sep 25.

Department of General Surgery, General Surgery Unit, New Sant'Agostino Hospital, Via Pietro Giardini, 1355, 41126, Modena, Italy.

To date, there is no shared consensus on a definition of a complex abdominal wall in elective surgery and in the emergency, on indications, technical details, complications, and follow-up. The purpose of the conference was to lay the foundations for a homogeneous approach to the complex abdominal wall with the primary intent being to attain the following objectives: (1) to develop evidence-based recommendations to define "complex abdominal wall"; (2) indications in emergency and in elective cases; (3) management of "complex abdominal wall"; (4) techniques for temporary abdominal closure. The decompressive laparostomy should be considered in a case of abdominal compartment syndrome in patients with critical conditions or after the failure of a medical treatment or less invasive methods. Read More

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http://dx.doi.org/10.1007/s13304-018-0577-6DOI Listing
September 2018
7 Reads

Impact of initial temporary abdominal closure in damage control surgery: a retrospective analysis.

World J Emerg Surg 2018 15;13:43. Epub 2018 Sep 15.

1Division of Acute Care Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL USA.

Background: Damage control surgery has revolutionized trauma surgery. Use of damage control surgery allows for resuscitation and reversal of coagulopathy at the risk of loss of abdominal domain and intra-abdominal complications. Temporary abdominal closure is possible with multiple techniques, the choice of which may affect ability to achieve primary fascial closure and further complication. Read More

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http://dx.doi.org/10.1186/s13017-018-0204-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139137PMC
January 2019
14 Reads

Negative Pressure Wound Therapy of Open Abdomen and Definitive Closure Techniques After Decompressive Laparotomy: A Single-center Observational Prospective Study.

Wounds 2018 Aug 13. Epub 2018 Aug 13.

University of Medicine and Pharmacy of Tîrgu Mureș, Târgu Mureș, Romania.

Introduction: Open abdomen is a concept that was developed especially in relation to abdominal compartment syndrome (ACS).

Objective: This study presents the evolution and complications related to the management of the open abdomen after decompressive laparotomy, using a standardized method based on negative pressure wound therapy (NPWT).

Materials And Methods: This observational prospective study conducted over a 9-month period included 19 patients who underwent decompressive laparotomies for ACS. Read More

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August 2018
8 Reads

Trauma and emergency general surgery patients should be extubated with an open abdomen.

J Trauma Acute Care Surg 2018 Dec;85(6):1043-1047

From the The Rees-Jones Trauma Center at Parkland Hospital (L.R.T., J.B.I., H.B.C., T.D.M., R.T., A.T., A.T.C., F.M.A., C.T.M., A.L.E., M.W.C.); the Division of General and Acute Care Surgery, Department of Surgery, (L.R.T., J.B.I., H.B.C., T.D.M., R.T., A.T., A.T.C., F.M.A., C.T.M., A.L.E., M.W.C.), University of Texas Southwestern Medical Center; and Parkland Memorial Hospital (N.P.), Dallas, Texas.

Background: Open abdomen (OA) and temporary abdominal closure (TAC) are common techniques to manage several surgical problems in trauma and emergency general surgery (EGS). Patients with an OA are subjected to prolonged mechanical ventilation. This can lead to increased rates of ventilator-associated pneumonia (VAP). Read More

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http://dx.doi.org/10.1097/TA.0000000000002064DOI Listing
December 2018
7 Reads

A Current Review of Synthetic Meshes in Abdominal Wall Reconstruction.

Authors:
William S Cobb

Plast Reconstr Surg 2018 09;142(3 Suppl):64S-71S

Greenville, S.C. From the Division of Minimally Invasive Surgery, The Hernia Center, Department of Surgery, Greenville Health System.

The use of mesh materials for reinforcement of the abdominal wall has revolutionized the approaches to hernia repair. Whether it's a permanent, synthetic mesh, a biologically derived collagen graft, or a synthetic, bioresorbable construct, data demonstrate improved outcomes with respect to recurrence with their use. Numerous advances and development of component separation techniques of the abdominal wall musculature have provided surgeons the ability to close large fascial defects and reestablish the linea alba for midline hernias. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004857DOI Listing
September 2018

Management of the Open Abdomen.

Semin Plast Surg 2018 Aug 24;32(3):127-132. Epub 2018 Jul 24.

Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.

Management of the abdominal catastrophe requires a multidisciplinary approach. The plastic surgeon is a key member of the surgical team assisting in the creation of a durable, functional anatomic abdominal wall reconstruction. Plastic surgeons must be familiar with the concepts and pathophysiology related to the open abdomen, techniques for temporary abdominal closure, and when such techniques are appropriate to implement. Read More

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http://dx.doi.org/10.1055/s-0038-1666802DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057780PMC

Effects of temporary abdominal closure methods on mortality and morbidity in patients with open abdomen.

Ulus Travma Acil Cerrahi Derg 2018 Jul;24(4):321-326

Department of General Surgery, Mustafa Kemal University Faculty of Medicine, Hatay-Turkey.

Background: Open abdomen (OA) in which the abdomen is closed with temporary abdominal closure methods is the most effective in patients who develop severe abdominal sepsis or abdominal compartment syndrome. Major techniques used are Vacuum-Assisted Closure Method (VACM) and non-vacuum assisted closure method (NVACM). In the present study, the effects of different abdominal closure methods on morbidity and mortality were evaluated. Read More

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http://dx.doi.org/10.5505/tjtes.2017.95038DOI Listing
July 2018
3 Reads

Novel technique of temporary abdominal closure with continuous medial fascial traction dynamic for patients with open abdomen.

Hernia 2018 08 4;22(4):691-696. Epub 2018 May 4.

Pablo Tobon Uribe Hospital, Medellin-Antioquia, Colombia.

Open abdomen has been an effective treatment for abdominal catastrophes in trauma and general surgery, is one of the greatest advances in recent decades and has become a common procedure in both trauma and general surgery. Temporary abdominal closure techniques in managing open abdomen help to achieve many benefits without incurring many complications. We present a series of patients in which a temporary abdominal closure technique was used that generates continuous medial fascial traction dynamic in patients with open abdomen for different causes. Read More

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http://dx.doi.org/10.1007/s10029-018-1773-5DOI Listing
August 2018
2 Reads

Outcome of open abdominal management following military trauma.

Br J Surg 2018 07 30;105(8):980-986. Epub 2018 Mar 30.

School of Biological Sciences, University of Manchester, Manchester, UK.

Background: Temporary abdominal closure (TAC) is increasingly common after military and civilian major trauma. Primary fascial closure cannot be achieved after TAC in 30 per cent of civilian patients; subsequent abdominal wall reconstruction carries significant morbidity. This retrospective review aimed to determine this morbidity in a UK military cohort. Read More

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http://dx.doi.org/10.1002/bjs.10813DOI Listing
July 2018
1 Read

Early versus conventional stoma closure following bowel surgery: A randomized controlled trial.

Saudi J Gastroenterol 2018 Jan-Feb;24(1):52-58

Department of General Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Background/aim: To compare early stoma closure with conventional stoma closure following defunctioning diversion stoma surgery with respect to the frequency of complications, health-related quality of life (QoL), and length of hospitalization (LoH).

Patients And Methods: This study was designed as a prospective parallel-arm randomized controlled trial. Patients who underwent temporary stoma following bowel surgery between February 2014 and November 2015 were included. Read More

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http://www.saudijgastro.com/text.asp?2018/24/1/52/225392
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http://dx.doi.org/10.4103/sjg.SJG_445_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5848326PMC
November 2018
7 Reads

[Surgical Case of Ulcerative Colitis Accompanied with Rectal Cancer Combined with Transanal Minimally Invasive Surgery].

Gan To Kagaku Ryoho 2018 Jan;45(1):130-132

Dept. of Gastrointestinal and Pediatric Surgery, Tokyo Medical University Hospital.

A46 -year-old man developed ulcerative colitis at the age of 19 years. Although the colitis was medically treated, it relapsed and repeated over time. Periodic lower gastrointestinal endoscopy revealed lower rectal cancer, and he was referred to our department of surgery. Read More

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January 2018
5 Reads

Incidence and factors associated with development of heterotopic ossification after damage control laparotomy.

Injury 2018 Jan 26;49(1):51-55. Epub 2017 Nov 26.

Division of Trauma Surgery, McGill University Health Centre, Montreal, QC, Canada. Electronic address:

Introduction: The incidence of heterotopic ossification (HO) following damage control laparotomy (DCL) is unknown. Abdominal wall reconstruction may prove more challenging in patients with HO. This study examines the incidence and factors associated with HO in patients with an open abdomen following DCL. Read More

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http://dx.doi.org/10.1016/j.injury.2017.11.033DOI Listing
January 2018
6 Reads

Bogota Bag in Abdominal Compartment Syndrome at Kathmandu Model Hospital.

J Nepal Health Res Counc 2017 Sep 8;15(2):159-163. Epub 2017 Sep 8.

Department of Surgery, Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal.

Background: The gold standard of quick and definitive treatment of Abdominal compartment syndrome (ACS) is surgical decompression by opening the abdomen and leaving it open until intra-abdominal pressure decreases. Temporary abdominal closure techniques are used to postpone definite closure until predisposing factors causing pathologic elevation of intra-abdominal pressure are resolved.This study aim to analyze feasibility of Bogota Bag placement as a way of temporary abdominal closure. Read More

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September 2017
20 Reads

Open Abdomen in Trauma and Critical Care.

Crit Care Nurse 2017 Oct;37(5):22-45

Eleanor R. Fitzpatrick is a clinical nurse specialist for surgical critical care at the Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

The open abdomen technique and temporary abdominal closure after damage control surgery is fast becoming the standard of care for managing intra-abdominal bleeding and infectious or ischemic processes in critically ill patients. Expansion of this technique has evolved from damage control surgery in severely injured trauma patients to use in patients with abdominal compartment syndrome due to acute pancreatitis and other disorders. Subsequent therapies after use of the open abdomen technique and temporary abdominal closure are resuscitation in the intensive care unit and planned reoperation to manage the underlying cause of bleeding, infection, or ischemia. Read More

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http://dx.doi.org/10.4037/ccn2017294DOI Listing
October 2017
55 Reads

Characterization of hypoalbuminemia following temporary abdominal closure.

J Trauma Acute Care Surg 2017 10;83(4):650-656

From the Department of Surgery and Sepsis and Critical Illness Research Center, University of Florida Health, Gainesville, Florida.

Background: The purpose of this study was to characterize associations among serum proteins, negative-pressure wound therapy (NPWT) fluid loss, and primary fascial closure (PFC) following emergent laparotomy and temporary abdominal closure (TAC). We hypothesized that high levels of C-reactive protein (CRP) and NPWT output would be associated with hypoalbuminemia and failure to achieve PFC.

Methods: We performed a retrospective analysis of 233 patients managed with NPWT TAC. Read More

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http://dx.doi.org/10.1097/TA.0000000000001553DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644021PMC
October 2017
8 Reads

The role of open abdomen in non-trauma patient: WSES Consensus Paper.

World J Emerg Surg 2017 14;12:39. Epub 2017 Aug 14.

General, Emergency and Trauma Surgery dept., Papa Giovanni XXIII Hospital, Piazza OMS 1, 24127 Bergamo, Italy.

The open abdomen (OA) is defined as intentional decision to leave the fascial edges of the abdomen un-approximated after laparotomy (laparostomy). The abdominal contents are potentially exposed and therefore must be protected with a temporary coverage, which is referred to as temporal abdominal closure (TAC). OA use remains widely debated with many specific details deserving detailed assessment and clarification. Read More

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http://wjes.biomedcentral.com/articles/10.1186/s13017-017-01
Publisher Site
http://dx.doi.org/10.1186/s13017-017-0146-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5557069PMC
September 2018
48 Reads

Negative Pressure Wound Therapy versus modified Barker Vacuum Pack as temporary abdominal closure technique for Open Abdomen management: a four-year experience.

BMC Surg 2017 Jul 21;17(1):86. Epub 2017 Jul 21.

Unit of General Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24127, Bergamo, Italy.

Background: We reviewed our experience with patients presenting with trauma and peritonitis who underwent an open abdomen (OA) procedure, and compared outcomes between Negative Pressure Wound Therapy (NPWT) and a modified Barker Vacuum Pack (mBVP) technique.

Methods: In this descriptive study, we retrospectively analyzed data regarding all patients who underwent OA for intra-abdominal sepsis or abdominal trauma at our Centre from January 2012 to December 2015. Demographic data, co-morbidities, indications to surgery, intra-operative details and Björck classification grade were considered. Read More

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http://dx.doi.org/10.1186/s12893-017-0281-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5521106PMC
July 2017
22 Reads

Does Negative-Pressure Wound Therapy for the Open Abdomen Benefit the Patient? A Retrospective Cohort Study.

Adv Skin Wound Care 2017 Jun;30(6):256-261

Bojan Krebs, MD, PhD, and Tomaž Jagrič, MD, PhD, are General Surgeons, Department of Abdominal Surgery, University Clinical Centre Maribor, Slovenia. The authors have disclosed they have no financial relationships related to this article. Submitted June 17, 2015; accepted in revised form January 8, 2016.

Objective: Negative-pressure wound therapy (NPWT) is the most modern and sophisticated method of temporary abdominal closure. The aim of the study was to determine the significant predictors for mortality in patients with NPWT.

Setting: University Clinical Centre Maribor, Slovenia MATERIALS AND METHODS:: The authors performed a retrospective cohort study of all patients treated with NPWT between January 1, 2011, and December 31, 2014. Read More

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http://dx.doi.org/10.1097/01.ASW.0000516196.19330.6fDOI Listing
June 2017
19 Reads

[Damage control surgery in patients with abdominal sepsis].

Ugeskr Laeger 2017 May;179(19)

Damage control surgery (DCS) and resuscitation has improved the survival of trauma patients with decompensated physiology. In recent years, the principles of DCS have been used in the treatment of patients with abdominal sepsis, despite the fact that only a minimum of evidence exists. The aim is to optimize the physiology prior to definitive surgery. Read More

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May 2017
7 Reads

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

Anaesthesiol Intensive Ther 2017 14;49(2):139-145. Epub 2017 May 14.

Department of Clinical Sciences Malmö, Vascular Centre, Lund University, Sweden.

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". Read More

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http://dx.doi.org/10.5603/AIT.a2017.0023DOI Listing
March 2018
12 Reads

Emergent laparotomy and temporary abdominal closure for the cirrhotic patient.

J Surg Res 2017 04 11;210:108-114. Epub 2016 Nov 11.

Department of Surgery, Sepsis and Critical Illness Research Center, University of Florida Health, Gainesville, Florida. Electronic address:

Background: Temporary abdominal closure (TAC) may be performed for cirrhotic patients undergoing emergent laparotomy. The effects of cirrhosis on physiologic parameters, resuscitation requirements, and outcomes following TAC are unknown. We hypothesized that cirrhotic TAC patients would have different resuscitation requirements and worse outcomes than noncirrhotic patients. Read More

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http://dx.doi.org/10.1016/j.jss.2016.11.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5507175PMC
April 2017
27 Reads

Outcomes of bedside sutureless umbilical closure without endotracheal intubation for gastroschisis repair in surgical infants.

Am J Surg 2017 May 24;213(5):958-962. Epub 2017 Mar 24.

Division of Pediatric General and Thoracic Surgery, University of Washington, School of Medicine, Seattle Children's Hospital, Seattle, WA, USA. Electronic address:

Introduction: Newborns with gastroschisis have historically undergone surgical repair under general anesthesia. Our institution recently transitioned to the sutureless umbilical closure for gastroschisis. We sought to evaluate the feasibility of bedside gastroschisis repair without endotracheal intubation. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2017.03.017DOI Listing
May 2017
12 Reads

Open abdomen with vacuum-assisted wound closure and mesh-mediated fascial traction in patients with complicated diffuse secondary peritonitis: A single-center 8-year experience.

J Trauma Acute Care Surg 2017 06;82(6):1100-1105

From the Department of Abdominal Surgery, Abdominal Center (M.T., P.M., V.S., S.R., A.L.), Helsinki University Hospital and University of Helsinki, Helsinki, Finland; Department of Transplantation and Liver Surgery, Abdominal Center (V.S.), Helsinki University Hospital and University of Helsinki, Helsinki, Finland; and Division of Intensive Care Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine(M.B.), Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Background: Open abdomen (OA) treatment in patients with peritonitis is increasing worldwide. Various temporary abdominal closure devices are being used. This study included patients with complicated diffuse secondary peritonitis, OA, and vacuum-assisted wound closure and mesh-mediated fascial traction (VAWCM). Read More

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http://dx.doi.org/10.1097/TA.0000000000001452DOI Listing
June 2017
6 Reads

IROA: International Register of Open Abdomen, preliminary results.

World J Emerg Surg 2017 21;12:10. Epub 2017 Feb 21.

General, Emergency and Trauma Surgery Department, Papa Giovanni XXIII Hospital, Piazza OMS 1, 24127 Bergamo, Italy.

Background: No definitive data about open abdomen (OA) epidemiology and outcomes exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) promoted the International Register of Open Abdomen (IROA).

Methods: A prospective observational cohort study including patients with an OA treatment. Read More

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http://dx.doi.org/10.1186/s13017-017-0123-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5320725PMC
September 2018
40 Reads

Complications and Mortality Associated with Temporary Abdominal Closure Techniques: A Systematic Review and Meta-Analysis.

Am Surg 2017 Feb;83(2):191-216

Temporary abdominal closure (TAC) techniques are routinely used in the open abdomen. Ideally, they should prevent evisceration, aid in removal of unwanted fluid from the peritoneal cavity, facilitate in achieving safe definitive fascial closure, as well as prevent the development of intra-abdominal complications. TAC techniques used in the open abdomen were compared with negative pressure wound therapy (NPWT) to identify which was superior. Read More

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February 2017
16 Reads

Enteroatmospheric fistula management by endoscopic gastrostomy PEG tube.

Int Wound J 2017 Dec 15;14(6):915-917. Epub 2017 Feb 15.

Department of General Surgery, Oswaldo Cruz Hospital, Pernambuco University, Recife, Brazil.

Management of small-bowel fistulas which are in an open abdomen and have no soft tissue overlay or a fistula tract involves many complications and challenges. Controlling the local leakage of enteric contents has a central role in the success of medical treatment. There are several methods to deal with fistula discharge but unfortunately, the technical solutions only partially address such problems and a definitive management of fistula discharge still remains an insoluble challenge. Read More

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http://dx.doi.org/10.1111/iwj.12726DOI Listing
December 2017
4 Reads

Temporary Vacuum-Assisted Closure of the Open Abdomen in Neonates.

Eur J Pediatr Surg 2017 Oct 18;27(5):437-442. Epub 2017 Jan 18.

Division of Paediatric Surgery, Red Cross War Memorial Children's Hospital, University of Cape Town, Cape Town, Western Cape, South Africa.

 The need for open abdomen in the treatment of severely ill neonates will increase in time as more complex abdominal procedures are undertaken. However, the experience of temporary closure of an open abdomen using vacuum-assisted closure (VAC) system is still relatively limited in premature and term neonates. The aim of this study is to describe and review our experience in the use of temporary VAC of the open abdomen for neonates with varying pathological processes. Read More

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http://dx.doi.org/10.1055/s-0036-1598010DOI Listing
October 2017
51 Reads

Comparative study of abdominal cavity temporary closure techniques for damage control.

Rev Col Bras Cir 2016 Sep-Oct;43(5):368-373

Medicine School, University of Santo Amaro (UNISA), Santo Amaro, SP, Brasil.

The damage control surgery, with emphasis on laparostomy, usually results in shrinkage of the aponeurosis and loss of the ability to close the abdominal wall, leading to the formation of ventral incisional hernias. Currently, various techniques offer greater chances of closing the abdominal cavity with less tension. Thus, this study aims to evaluate three temporary closure techniques of the abdominal cavity: the Vacuum-Assisted Closure Therapy - VAC, the Bogotá Bag and the Vacuum-pack. Read More

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http://dx.doi.org/10.1590/0100-69912016005015DOI Listing
October 2017
5 Reads

Extra-anatomical Meso-portal Venous Jump Graft Repair for Early Portal Vein Thrombosis After Liver Transplant in an Infant With a Hypoplastic Portal Vein: A Case Report.

Transplant Proc 2016 Nov;48(9):3186-3190

Transplant Center, Cleveland Clinic Florida, Weston, Florida, United States.

Background And Purpose: Small infants with biliary atresia and hypoplastic portal veins (PV) are at risk for portal vein thrombosis (PVT) after liver transplantation (LT), which can lead to graft loss and mortality. Extra-anatomical PV reconstruction techniques have been established for adult cases of PVT; however, they have not been widely accepted for infants.

Methods: Here, we report the successful use of an extra-anatomical meso-portal venous jump graft to treat early PVT after LT in a 6-month-old infant with biliary atresia and PV hypoplasia. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00411345163052
Publisher Site
http://dx.doi.org/10.1016/j.transproceed.2016.08.031DOI Listing
November 2016
3 Reads

Liver transplantation in infants with biliary atresia: comparison of primary versus temporary abdominal closure.

Langenbecks Arch Surg 2017 Feb 3;402(1):135-141. Epub 2016 Nov 3.

Department of General Visceral and Transplant Surgery, Division of Pediatric Surgery, Faculty of Medicine, University Duisburg-Essen, Hufelandstr. 55D, , 45147, Essen, Germany.

Introduction: Biliary atresia (BA) is the most frequent disease leading to liver transplantation (LT) in infants. Since the patients often require transplantation before reaching a body weight of 10 kg, it is necessary to perform living-related or split liver transplantation by using a left lateral segment. However, this graft often exceeds a graft body weight ratio (GBWR) of 4. Read More

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http://dx.doi.org/10.1007/s00423-016-1525-xDOI Listing
February 2017
10 Reads

Temporary abdominal closure for trauma and intra-abdominal sepsis: Different patients, different outcomes.

J Trauma Acute Care Surg 2017 02;82(2):345-350

From the Department of Surgery, and Sepsis and Critical Illness Research Center (T.J.L., J.R.J., C.A.C., S.S., P.A.E., A.M.M., F.A.M., S.C.B.), University of Florida Health, Gainesville, Florida.

Background: Temporary abdominal closure (TAC) after damage control surgery (DCS) for injured patients has been generalized to septic patients. However, direct comparisons between these populations are lacking. We hypothesized that patients with intra-abdominal sepsis would have different resuscitation requirements and lower primary fascial closure rates than trauma patients. Read More

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http://dx.doi.org/10.1097/TA.0000000000001283DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5250565PMC
February 2017
25 Reads

Hemorheological factors can be informative in comparing treatment possibilities of abdominal compartment syndrome.

Clin Hemorheol Microcirc 2016 ;64(4):765-775

Institute of Surgery, Faculty of Medicine, University of Debrecen, Hungary.

Background: Abdominal compartment syndrome (ACS) is a life-threatening condition, of which pathomechanism hasn't been completely clarified, yet. Furthermore, surgical therapy still needs optimization.

Objective: We aimed to investigate microcirculatory and micro-rheological alterations in ACS, using various temporary abdominal closure methods, including three settings of vacuum-assisted closure technique (negative pressure wound therapy, NPWT). Read More

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http://www.medra.org/servlet/aliasResolver?alias=iospress&am
Publisher Site
http://dx.doi.org/10.3233/CH-168027DOI Listing
February 2017
11 Reads

Open abdomen in gastrointestinal surgery: Which technique is the best for temporary closure during damage control?

World J Gastrointest Surg 2016 Aug;8(8):590-7

Marcelo A F Ribeiro Junior, Emily Alves Barros, Sabrina Marques de Carvalho, Vinicius Pereira Nascimento, José Cruvinel Neto, Alexandre Zanchenko Fonseca, Department of Surgery, University of Santo Amaro, São Paulo CEP 04829-300, Brazil.

Aim: To compare the 3 main techniques of temporary closure of the abdominal cavity, vacuum assisted closure (vacuum-assisted closure therapy - VAC), Bogota bag and Barker technique, in damage control surgery.

Methods: After systematic review of the literature, 33 articles were selected to compare the efficiency of the three procedures. Criteria such as cost, infections, capacity of reconstruction of the abdominal wall, diseases associated with the technique, among others were analyzed. Read More

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http://www.wjgnet.com/1948-9366/full/v8/i8/590.htm
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http://dx.doi.org/10.4240/wjgs.v8.i8.590DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5003939PMC
August 2016
10 Reads

Floating stoma: An alternative strategy in the context of damage control surgery.

J Visc Surg 2016 Dec 9;153(6):419-424. Epub 2016 Sep 9.

Center for Morphological and Surgical Studies (CEMyQ), Universidad de La Frontera, Chile; Center for Biomedical Research, Universidad Autónoma, Chile; Universidad Científica del Sur, Peru.

Introduction: Floating stoma (FS) is a strategy to be considered in the context of damage control surgery (DCS). The purpose of this study is to describe the technique used and the results of a series of patients where FS was used.

Methods: Case series of relaparotomized patients at two emergency services in Temuco, Chile (2005-2014). Read More

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http://dx.doi.org/10.1016/j.jviscsurg.2016.06.003DOI Listing
December 2016
8 Reads

International consensus conference on open abdomen in trauma.

J Trauma Acute Care Surg 2016 Jan;80(1):173-83

From the Trauma Center (O.C., S.C., S.S., A.M., F.S., M.L., L.T.), Trauma Surgery and Intensive Care, and Wound Healing Service (J.N.), Niguarda Hospital; and General and Emergency Surgery (P.D.R.), Policlinico Hospital, Milano; Emergency Surgery and Intensive Care (F.C., A.V.), Parma Hospital, Parma; General Surgery (L.A., S.M., F.C., R.M.), Papa Giovanni XXIII Hospital; and General Surgery (M.Z.), Policlinico S Pietro Hospital, Ponte San Pietro, Bergamo; Neurosurgical-Orthopedic Anesthesia and Intensive Care (A.C.), Careggi Hospital, Firenze; General and Emergency Surgery and Intensive Care (M.B., E.D.B.), Rummo Hospital, Benvento; Intensive Care (G.G.), Bufalini Hospital, Cesena; Trauma Surgery and Intensive Care (G.T., S.D.S., G.G., F.M., C.C.), Maggiore Hospital, Bologna; Shock e Trauma Service (G.N., E.C.), San Camillo Hospital; and General Surgery (S.R., F.G.), Umberto 1 Hospital, Roma; General Surgery (P.P., L.F.), San Gerardo Hospital, Monza; General Surgery (P.D.), San Matteo Hospital, Pavia; Trauma Surgery (G.N.), and General Surgery (M.C.), Cardarelli Hospital, Napoli; Department of Surgery (S.R.), Insubria University, Varese; and Emergency Surgery (S.R.), Umberto Parini Hospital, Aosta, Italy; Trauma and Acute Care Surgery (W.B.), Denver Health Medical Center, Denver, Colorado; R Adams Cowley Shock Trauma Center (T.M.S., S.H.), Baltimore, Maryland; and Emergency Surgery (A.L.), Department of Surgery, Meilahti Hospital, Helsinki, Finland.

Background: A part of damage-control laparotomy is to leave the fascial edges and the skin open to avoid abdominal compartment syndrome and allow further explorations. This condition, known as open abdomen (OA), although effective, is associated with severe complications. Our aim was to develop evidence-based recommendations to define indications for OA, techniques for temporary abdominal closure, management of enteric fistulas, and methods of definitive wall closure. Read More

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http://dx.doi.org/10.1097/TA.0000000000000882DOI Listing
January 2016
45 Reads
8 Citations
1.970 Impact Factor

Management of the open abdomen: clinical recommendations for the trauma/acute care surgeon and general surgeon.

Int Wound J 2016 Sep;13 Suppl 3:25-34

University of Texas Health Science Center, Tyler, TX, USA.

Traditionally, the surgical approach to managing abdominal injuries was to assess the extent of trauma, repair any damage and close the abdomen in one definitive procedure rather than leave the abdomen open. With advances in medicine, damage control surgery using temporary abdominal closure methods is being used to manage the open abdomen (OA) when closure is not possible. Although OA management is often observed in traumatic injuries, the extension of damage control surgery concepts, in conjunction with OA, for the management of the septic patient requires that the general surgeon who is faced with these challenges has a comprehensive knowledge of this complex subject. Read More

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http://dx.doi.org/10.1111/iwj.12655DOI Listing
September 2016
12 Reads

Greater Success of Primary Fascial Closure of the Open Abdomen: A Retrospective Study Analyzing Applied Surgical Techniques, Success of Fascial Closure, and Variables Affecting the Results.

Scand J Surg 2017 Jun 15;106(2):145-151. Epub 2016 Aug 15.

3 Division of Plastic Surgery, Helsinki University Hospital, Helsinki, Finland.

Background And Aims: The open abdomen technique is a standard procedure in the treatment of intra-abdominal catastrophe. Achieving primary abdominal closure within the initial hospitalization is a main objective. This study aimed to analyze the success of closure rate and the effect of negative pressure wound therapy, mesh-mediated medial traction, and component separation on the results. Read More

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http://journals.sagepub.com/doi/10.1177/1457496916665542
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http://dx.doi.org/10.1177/1457496916665542DOI Listing
June 2017
5 Reads

Prophylactic meshes in the abdominal wall.

Chirurg 2017 Jan;88(Suppl 1):34-41

Klinik und Poliklinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie, Universitätsklinikum Würzburg, Oberdürrbacher Strasse 6, 97080, Würzburg, Germany.

Background: There is a high incidence of incisional hernias in specific high-risk patient populations. For these patients, the prophylactic placement of mesh during closure of the abdominal wall incision has been investigated in several prospective studies.

Objective: This article aims to summarize and synthetize the currently available evidence on prophylactic meshes in a narrative review. Read More

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http://dx.doi.org/10.1007/s00104-016-0229-7DOI Listing
January 2017
2 Reads

What is the effectiveness of the negative pressure wound therapy (NPWT) in patients treated with open abdomen technique? A systematic review and meta-analysis.

J Trauma Acute Care Surg 2016 09;81(3):575-84

From the Department of General and Oncologic Surgery (R.C.), University of Perugia, Terni, Italy; General Surgery (A.B.), University of Bologna, Bologna, Italy; Acute Care Surgery (W.L.B.), Queen's Medical Center, University of Hawaii, Honolulu, Hawaii; Department of Surgery (V.M.), and Clinic of Endoscopic, Endocrine Surgery and Coloproctology (G.P.), Military Medical Academy, Sofia, Bulgaria; Niguarda Hospital Trauma Center (O.C.), Milan, Italy; Trauma Surgery Unit (G.T., S.D.S.), Maggiore Hospital Regional Emergency Surgery and Trauma Center, Bologna Local Health District, Bologna, Italy.

Background: The open abdomen technique may be used in critically ill patients to manage abdominal injury, reduce the septic complications, and prevent the abdominal compartment syndrome. Many different techniques have been proposed and multiple studies have been conducted, but the best method of temporary abdominal closure has not been determined yet. Recently, new randomized and nonrandomized controlled trials have been published on this topic. Read More

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http://dx.doi.org/10.1097/TA.0000000000001126DOI Listing
September 2016
22 Reads

Bedside dressing changes for open abdomen in the intensive care unit is safe and time and staff efficient.

Crit Care 2016 May 28;20(1):164. Epub 2016 May 28.

Department of Gastrointestinal Surgery, St. Olavs Hospital, Trondheim University Hospital, Prinsesse Kristinas gate 3, 7030, Trondheim, Norway.

Background: Patients with an open abdomen (OA) treated with temporary abdominal closure (TAC) need multiple surgical procedures throughout the hospital stay with repeated changes of the vacuum-assisted closure device (VAC changes). The aim of this study was to examine if using the intensive care unit (ICU) for dressing changes in OA patients was safe regarding bloodstream infections (BSI) and survival. Secondary aims were to evaluate saved time, personnel, and costs. Read More

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http://dx.doi.org/10.1186/s13054-016-1337-yDOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4884359PMC
May 2016
7 Reads

Evaluation of polypropylene mesh coated with biological hydrogels for temporary closure of open abdomen.

J Biomater Appl 2016 08 25;31(2):302-14. Epub 2016 Apr 25.

Department of General Surgery, Medical School of Nanjing University, People's Republic of China.

Polypropylene mesh, as a temporary abdominal closure device, may cause mechanical intestine injury and inflammatory response. Chitosan/gelatin hydrogel has excellent biocompatibility, soft and elastic properties. This work is to assess the effects of the chitosan/gelatin hydrogel coated polypropylene mesh on open abdomen wounds. Read More

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http://dx.doi.org/10.1177/0885328216645950DOI Listing
August 2016
12 Reads

Vacuum-Assisted Closure Therapy in Patients Undergoing Liver Transplantation With Necessity to Maintain Open Abdomen.

Transplant Proc 2016 Mar;48(2):383-5

Hepato-Pancreato-Biliary Surgery and Liver Transplantation Unit, University of Modena and Reggio Emilia, Modena, Italy. Electronic address:

Background: Negative-pressure wound therapy (NPWT) has been recognized as a valid method of temporary abdominal closure. The role of open abdomen (OA) in the management of abdominal sepsis has been a controversial issue. Recent experimental and clinical studies have indicated that vacuum-assisted closure (VAC) is associated with superior outcomes in the treatment of OA conditions, but sufficient proof of efficacy and effectiveness is lacking. Read More

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http://dx.doi.org/10.1016/j.transproceed.2015.12.037DOI Listing
March 2016
1 Read

Open abdomen with negative pressure device vs primary abdominal closure for the management of surgical abdominal sepsis: a retrospective review.

Am J Surg 2016 May 23;211(5):926-32. Epub 2016 Feb 23.

Division of General Surgery, Department of General Surgery, University of British Columbia, Vancouver General Hospital Rm 3100-Jim Pattison Pavillion North, 950 West 10th Avenue, Vancouver, British Columbia V5Z 1M9, Canada.

Background: Open abdomen with temporary abdominal closure remains a controversial management strategy for surgical abdominal sepsis compared with primary abdominal closure (PAC) and on-demand laparotomy. The primary objective was to compare mortality between PAC and open abdomen with vacuum assisted closure (VAC).

Methods: Retrospective review of a tertiary center intensive care unit database (2006 to 2010) including suspected/diagnosed severe abdominal sepsis/septic shock requiring source control laparotomy. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2016.01.012DOI Listing
May 2016
3 Reads

Role of the Open Abdomen in Critically Ill Patients.

Crit Care Clin 2016 Apr;32(2):255-64

Division of Trauma Surgery and Critical Care, Department of Surgery, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA. Electronic address:

An open abdomen is common used in critically ill patients to temporize permanent abdominal closure. The most common reason for leaving the abdomen open by reopening a laparotomy, not closing, or creating a fresh laparotomy is the abdominal compartment syndrome. The open abdomen technique is also used in damage control operations and intra-abdominal sepsis. Read More

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http://dx.doi.org/10.1016/j.ccc.2015.12.003DOI Listing
April 2016
11 Reads

Current state of abdominal wall transplantation.

Curr Opin Organ Transplant 2016 Apr;21(2):159-64

aOxford Transplant Centre, Oxford University Hospitals Churchill Hospital, Oxford, UKbApollo Hospitals, Chennai, India.

Purpose Of Review: Primary closure of the abdominal wall remains one of the early challenges of intestinal transplantation. Our aim is to review the role of abdominal wall transplantation in achieving tension-free closure of the abdomen.

Recent Findings: In total, 38 full-thickness vascularized abdominal wall transplants, six partial-thickness vascularized and 17 partial-thickness nonvascularized rectus facia grafts have been reported worldwide. Read More

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http://dx.doi.org/10.1097/MOT.0000000000000276DOI Listing
April 2016
8 Reads

Laparoscopic repair of complex ventral hernia facilitated by pre-operative chemical component relaxation using Botulinum Toxin A.

Hernia 2016 Apr 7;20(2):209-19. Epub 2016 Mar 7.

Macquarie University Hospital, Technology Place, Macquarie, Australia.

Purpose: The operative management of complex ventral hernia poses a formidable challenge, despite recent advances in surgical techniques. Recurrence rates after complex ventral hernia repair remain high, and increase with each failed attempt. This study examines the effect of pre-operative abdominal wall chemical component relaxation using Botulinum Toxin A (BTA) to induce temporary flaccid paralysis in order to facilitate laparoscopic repair of large complex ventral hernia. Read More

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http://dx.doi.org/10.1007/s10029-016-1478-6DOI Listing
April 2016
3 Reads