Vacuum-Assisted wound closure and mesh-mediated fascial traction for open abdomen therapy - a systematic review
Acosta, Stefan LU
; Björck, Martin
and Petersson, Ulf
LU
(2017)
In Anaesthesiology Intensive Therapy
49(2).
p.139-145
- Abstract
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... (More)
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.
(Less)
- author
- Acosta, Stefan
LU
; Björck, Martin
and Petersson, Ulf
LU
- organization
- publishing date
- 2017-06-22
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- Mesh-Mediated Fascial Traction, Negative Pressure Wound Therapy, Open Abdomen, Temporary Abdominal Closure, Vacuum
- in
- Anaesthesiology Intensive Therapy
- volume
- 49
- issue
- 2
- pages
- 7 pages
- publisher
- Via Medica
- external identifiers
-
- pmid:28502075
- wos:000404441500009
- scopus:85021234106
- ISSN
- 1642-5758
- DOI
- 10.5603/AIT.a2017.0023
- language
- English
- LU publication?
- yes
- id
- e253c86c-8fad-471e-b216-902f7bd24b35
- date added to LUP
- 2017-08-10 12:12:28
- date last changed
- 2024-02-29 19:28:15
@article{e253c86c-8fad-471e-b216-902f7bd24b35,
abstract = {{<p>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.</p>}},
author = {{Acosta, Stefan and Björck, Martin and Petersson, Ulf}},
issn = {{1642-5758}},
keywords = {{Mesh-Mediated Fascial Traction; Negative Pressure Wound Therapy; Open Abdomen; Temporary Abdominal Closure; Vacuum}},
language = {{eng}},
month = {{06}},
number = {{2}},
pages = {{139--145}},
publisher = {{Via Medica}},
series = {{Anaesthesiology Intensive Therapy}},
title = {{Vacuum-Assisted wound closure and mesh-mediated fascial traction for open abdomen therapy - a systematic review}},
url = {{http://dx.doi.org/10.5603/AIT.a2017.0023}},
doi = {{10.5603/AIT.a2017.0023}},
volume = {{49}},
year = {{2017}},
}