Components separation technique is feasible for assisting delayed primary fascial closure of open abdomen

Show full item record



Permalink

http://hdl.handle.net/10138/161323

Citation

Rasilainen , S K , Mentula , P J & Leppaniemi , A K 2016 , ' Components separation technique is feasible for assisting delayed primary fascial closure of open abdomen ' , Scandinavian Journal of Surgery , vol. 105 , no. 1 , pp. 17-21 . https://doi.org/10.1177/1457496915586651

Title: Components separation technique is feasible for assisting delayed primary fascial closure of open abdomen
Author: Rasilainen, S. K.; Mentula, P. J.; Leppaniemi, A. K.
Contributor: University of Helsinki, Department of Surgery
University of Helsinki, Clinicum
University of Helsinki, II kirurgian klinikka
Date: 2016-03
Language: eng
Number of pages: 5
Belongs to series: Scandinavian Journal of Surgery
ISSN: 1457-4969
URI: http://hdl.handle.net/10138/161323
Abstract: Background and aims: The goal after open abdomen treatment is to reach primary fascial closure. Modern negative pressure wound therapy systems are sometimes inefficient for this purpose. This retrospective chart analysis describes the use of the components separation' method in facilitating primary fascial closure after open abdomen. Material and methods: A total of 16 consecutive critically ill surgical patients treated with components separation during open abdomen management were analyzed. No patients were excluded. Results: Primary fascial closure was achieved in 75% (12/16). Components separation was performed during ongoing open abdomen treatment in 7 patients and at the time of delayed primary fascial closure in 9 patients. Of the former, 3/7 (43%) patients reached primary fascial closure, whereas all 9 patients in the latter group had successful fascial closure without major complications (p=0.019). Conclusion: Components separation is a useful method in contributing to successful primary fascial closure in patients treated for open abdomen. Best results were obtained when components separation was performed simultaneously with primary fascial closure at the end of the open abdomen treatment.
Subject: Open abdomen
primary fascial closure
components separation
abdominal compartment syndrome
temporary abdominal closure
vacuum-assisted wound closure
ABDOMINAL-WALL DEFECTS
INTRAABDOMINAL HYPERTENSION
STAGED MANAGEMENT
CRITICALLY-ILL
HERNIA REPAIRS
RECONSTRUCTION
VACUUM
MESH
TRACTION
OUTCOMES
3126 Surgery, anesthesiology, intensive care, radiology
Rights:


Files in this item

Total number of downloads: Loading...

Files Size Format View
17.full.pdf 302.4Kb PDF View/Open

This item appears in the following Collection(s)

Show full item record