![[New application of v.a.C. (vacuum assisted closure) in the abdominal cavity in case of open abdomen therapy].](/static/images/no-image.png)
Journal article
[New application of v.a.C. (vacuum assisted closure) in the abdominal cavity in case of open abdomen therapy].
- 2004-05-29
Published in:
- Zentralblatt fur Chirurgie. - 2004
Abdominal Injuries
Abdominal Wall
Adult
Debridement
Equipment Design
Female
Humans
Microcomputers
Multiple Trauma
Occlusive Dressings
Pancreas
Pancreatectomy
Pancreatitis, Acute Necrotizing
Peritonitis
Reoperation
Surgery, Computer-Assisted
Surgical Wound Infection
Suture Techniques
Vacuum
Wound Healing
English
OBJECTIVE
The problem of the temporary vacuum assisted closure (V.A.C.) of open abdomen situation is that the fluids, following the negative pressure, pass the abdominal cavity and in case of a local infection disseminate over the whole abdominal cavity.
METHODS
The usual open abdominal wound V.A.C. technique was modified by using an auxiliary, independently operating V.A.C. system positioned intra-abdominally and connected with a separate drainage tube introduced into the lateral abdominal wall. This arrangement prevents further spreading of a local intra-abdominal infection in case of a necrotising pancreatitis after traumatic pancreas rupture.
RESULTS
The drainage volumes were comparable from superficial and intra-abdominal V.A.C. system. A total of 30 reoperations were necessary due to a leasion of the pancreas before a primary closure of the open abdominal wound could be applied after 72 days. No bowel fistulas or intra-abdominal abscess formations were observed. The follow-up have not shown any hernia of the abdominal wall up to the present.
CONCLUSION
Additional intra-abdominally positioned V.A.C. system with an own drainage system supports open abdomen therapy with the standard abdominal V.A.C. system and prevents dissemination of intra-abdominal infection.
The problem of the temporary vacuum assisted closure (V.A.C.) of open abdomen situation is that the fluids, following the negative pressure, pass the abdominal cavity and in case of a local infection disseminate over the whole abdominal cavity.
METHODS
The usual open abdominal wound V.A.C. technique was modified by using an auxiliary, independently operating V.A.C. system positioned intra-abdominally and connected with a separate drainage tube introduced into the lateral abdominal wall. This arrangement prevents further spreading of a local intra-abdominal infection in case of a necrotising pancreatitis after traumatic pancreas rupture.
RESULTS
The drainage volumes were comparable from superficial and intra-abdominal V.A.C. system. A total of 30 reoperations were necessary due to a leasion of the pancreas before a primary closure of the open abdominal wound could be applied after 72 days. No bowel fistulas or intra-abdominal abscess formations were observed. The follow-up have not shown any hernia of the abdominal wall up to the present.
CONCLUSION
Additional intra-abdominally positioned V.A.C. system with an own drainage system supports open abdomen therapy with the standard abdominal V.A.C. system and prevents dissemination of intra-abdominal infection.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1055/s-2004-822668
- PMID 15168276
- Persistent URL
- https://sonar.ch/global/documents/163425
Statistics
Document views: 19
File downloads: