Comparative study of open abdomen treatment: ABThera™ vs. abdominal dressing™.
Hernia
; 19(2): 323-8, 2015 Apr.
Article
em En
| MEDLINE
| ID: mdl-24756917
ABSTRACT
INTRODUCTION:
Negative pressure therapy (NPT) is a widely recognised procedure for the temporary closure of open abdominal wounds. In this study, we compare two NPT products, the V.A.C.® abdominal dressing (AD) system and the new ABThera™ (ABT) system, in terms of the primary closure rates achieved, types of closure, and the associated morbidity.METHODS:
We employed a retrospective comparative study of open-abdomen patients treated with NPT using either AD or ABT. The indications for treatment were damage control surgery, abdominal compartment syndrome, or severe abdominal sepsis.RESULTS:
The group of patients treated with ABT showed a higher percentage of primary closures (41 vs. 11%) and required fewer days of NPT (17 vs. 26 days) than the AD group. Differences were statistically significant. In addition, only 4% of patients in the ABT group exhibited enteroatmospheric fistulae, compared to 17% in the AD group.CONCLUSIONS:
Compared to the AD system, ABT can achieve faster primary closure after open abdomen treatment with only minor complications.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Abdome
/
Tratamento de Ferimentos com Pressão Negativa
/
Técnicas de Fechamento de Ferimentos Abdominais
Tipo de estudo:
Observational_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Hernia
Assunto da revista:
GASTROENTEROLOGIA
Ano de publicação:
2015
Tipo de documento:
Article