2016/07/28 by Beltzer, Christian, Eisenächer, Alexander, Badendieck, Steffen +4
#610 Medical sciences #Faszienverrschlussrate #Laparostoma #Medicine #Netz-vermittelte Faszientraktion #Peritonitis #Vakuum-assistierter Verschluss #fascial closure rate #laparostoma #mesh-mediated fascial traction #offenes Abdomen #open abdomen #peritonitis #temporary abdominal closure #temporärer Bauchdeckenverschluss #vacuum-assisted closure
paper · doi:10.3205/iprs000098
Introduction: The optimal treatment concept for temporary abdominal closure (TAC) in critically ill visceral surgery patients with open abdomen (OA) continues to be unclear. The VACM (vacuum-assisted closure and mesh-mediated fascial traction) therapy seems to permit higher delayed primary fascial closure rates (FCR) than other TAC procedures. Material and methods: Patients of our clinic (n=58) who were treated by application of a VAC/VACM treatment manual in the period from 2005 to 2008 were retrospectively analysed. Results: The overall FCR of all patients was 48.3% (95% confidence interval: 34.95–61.78). An FCR of 61.3% was achieved in patients who had a vicryl mesh implanted at the fascial level (VACM therapy) in the course of treatment. Mortality among patients treated with VACM therapy was 45.2% (95% CI: 27.32–63.97). Conclusions: The results of our own study confirm the results of previous studies which showed an acceptable FCR among non-trauma patients who were treated with VACM therapy. VACM therapy currently appears to be the treatment regime of choice for patients with OA requiring TAC.