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Surg Innov. 2012 Dec;19(4):353-63. doi: 10.1177/1553350611429693. Epub 2012 Jan 5.

Negative pressure therapy: a viable option for general surgical management of the open abdomen.

Author information

1
Texas Endosurgery Institute, San Antonio, TX 78222, USA. fellow@texasendosurgery.com

Abstract

BACKGROUND:

Management of the open abdomen (OA) is challenging for surgeons and requires experienced medical teamwork. The need for improvements in temporary abdominal closure methods has led to the development of a negative-pressure therapy (NPT; ABThera OA NPT, KCI USA, Inc, San Antonio, TX).

METHOD:

The authors present a 19-patient case series documenting their use of NPT for OA management in nontraumatic surgery. All received NPT until the fascia was considered ready for closure.

RESULTS:

Of 19 patients, 17 (89.5%) achieved fascial closure with a Kaplan-Meier (KM) median time to closure of 6 days. Mean hospital and intensive care unit stays were 32.1 and 26.6 days, respectively. During their hospitalization, 5 patients (26.3%) died, with a KM median time to mortality of 53 days.

CONCLUSION:

These findings demonstrate effective use of NPT for managing the OA in critically ill patients, and this has led the authors to use it in their general surgery practice.

PMID:
22228757
DOI:
10.1177/1553350611429693
[Indexed for MEDLINE]

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