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Titolo:
VACUUM PACK TECHNIQUE OF TEMPORARY ABDOMINAL CLOSURE - A 4-YEAR EXPERIENCE
Autore:
SMITH LA; BARKER DE; CHASE CW; SOMBERG LB; BROCK WB; BURNS RP;
Indirizzi:
UNIV TENNESSEE,COLL MED,CHATTANOOGA UNIT,DEPT SURG,SUITE 401,979 E 3RD ST CHATTANOOGA TN 37403 UNIV TENNESSEE,COLL MED,CHATTANOOGA UNIT,DEPT SURG CHATTANOOGA TN 37403
Titolo Testata:
The American surgeon
fascicolo: 12, volume: 63, anno: 1997,
pagine: 1102 - 1107
SICI:
0003-1348(1997)63:12<1102:VPTOTA>2.0.ZU;2-3
Fonte:
ISI
Lingua:
ENG
Soggetto:
PLANNED MULTIPLE LAPAROTOMIES; COMPARTMENT SYNDROME; OPEN MANAGEMENT; DIFFUSE PERITONITIS; MARLEX MESH; GENERALIZED PERITONITIS; PERIHEPATIC PACKING; ABSORBABLE MESH; TRAUMA PATIENTS; SEPTIC ABDOMEN;
Tipo documento:
Article
Natura:
Periodico
Citazioni:
55
Recensione:
Indirizzi per estratti:
Citazione:
L.A. Smith et al., "VACUUM PACK TECHNIQUE OF TEMPORARY ABDOMINAL CLOSURE - A 4-YEAR EXPERIENCE", The American surgeon, 63(12), 1997, pp. 1102-1107

Abstract

The purpose of this review is to present a 4-year experience with thevacuum pack technique of temporary abdominal closure. From April 1992to December 1996, 171 vacuum packs were performed on 93 patients. Eighty-seven vacuum packs were performed on 38 general surgical patients,and 84 vacuum packs were performed on 55 trauma patients. Overall hospital mortality was 32 per cent. Methods of achieving permanent wound closure varied in 73 patients. Four patients (4.3%) developed enterocutaneous fistulae; four patients developed intra-abdominal abscesses (4.3%). There were no eviscerations. Management of the complicated intra-abdominal process is discussed: 1) the decision to manage the abdomenin an open fashion; 2) which method of temporary closure to use; 3) subsequent explorations; 4) when the abdomen should be closed; 5) whichtype of closure to use; and 6) when the abdominal wall should be revised (herniorrhaphy). The vacuum pack is the method of choice for open abdomen management-and temporary abdominal closure at our institution. With careful subsequent management, good patient outcome can be achieved.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 16:07:26