ArticleCritical care (London, England)2009
Vacuum-assisted closure device enhances recovery of critically ill patients following emergency surgical procedures.
Article in Critical care (London, England), 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 35 papers, 2 of them syntheses that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
35 citing papers in PubMed, 2 syntheses or guidelines pooled it, 81 citations in OpenAlex.
- EHS clinical guidelines on the management of the abdominal wall in the context of the open or burst abdomen.Hernia : the journal of hernias and abdominal wall surgery · 2018Guideline
- Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome.Intensive care medicine · 2013Guideline
- Managing the open abdomen: negative pressure closure versus mesh-mediated fascial traction closure: a randomized trial.Hernia : the journal of hernias and abdominal wall surgery · 2016Trial
- Long-term recovery after fasciotomy for earthquake-related acute compartment syndrome: a comparative study of pediatric and adult patients.BMC surgery · 2026Article
- Negative pressure wound therapy in the setting of acute abdominal evisceration secondary to major thoracoabdominal burns.Journal of surgical case reports · 2025Article
- Narrative Review of Open Abdomen Management and Comparison of Different Temporary Abdominal Closure Techniques.Journal of abdominal wall surgery : JAWS · 2025Review
- Open abdomen in the trauma ICU patient: who? when? why? and what are the outcome results?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Factors influencing the fascial closure rate after open abdomen treatment: Results from the European Hernia Society (EuraHS) Registry : Surgical technique matters.Hernia : the journal of hernias and abdominal wall surgery · 2022Article
- Effects of negative-pressure therapy with and without ropivacaine instillation in the early evolution of severe peritonitis in pigs.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2021Article
- Step-up approach combined with negative pressure wound therapy for the treatment of severe necrotizing pancreatitis: a case report.Clinical journal of gastroenterology · 2020Article
- An open and closed case: timing of closure following laparostomy.Annals of the Royal College of Surgeons of England · 2020Article
- Entero-atmospheric fistula migration: a new management alternative for complex septic open abdomen.Anaesthesiology intensive therapy · 2020Review
- Successful Use of Negative Pressure Wound Therapy for Abdominal Wall Necrosis Caused by a Perforated Ascending Colon Using the ABThera System.Case reports in surgery · 2020Article
- Article
- Surgical site infections after parotidectomy: management and benefits of an antibiotic prophylaxis protocol.Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale · 2019Article
- The management of esophago-gastric necrosis due to caustics ingestion: Anastomotic reinforcement with Cyanoacrylate glue and damage control with Vacuum Assisted Closure Therapy-A case report.International journal of surgery case reports · 2019Article
- Negative Pressure Wound Therapy versus modified Barker Vacuum Pack as temporary abdominal closure technique for Open Abdomen management: a four-year experience.BMC surgery · 2017Article
- Intensive care and health outcomes of open abdominal treatment: long-term results of vacuum-assisted wound closure and mesh-mediated fascial traction (VAWCM).Langenbeck's archives of surgery · 2017Article
- Severe descending necrotizing mediastinitis: vacuum-assisted dressing did wonder.General thoracic and cardiovascular surgery · 2017Article
- Management of the open abdomen using negative pressure wound therapy with instillation in severe abdominal sepsis: A review of 48 cases in Hospital Mexico, Costa Rica.International journal of surgery case reports · 2017Article
Corrections and comments
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Authors and funding
12 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionCritically ill surgical patients frequently develop intra-abdominal hypertension (IAH) leading to abdominal compartment syndrome (ACS) with subsequent high mortality. We compared two temporary abdominal closure systems (Bogota bag and vacuum-assisted closure (VAC) device) in intra-abdominal pressure (IAP) control.
methodsThis prospective study with a historical control included 66 patients admitted to a medical and surgical intensive care unit (ICU) of a tertiary care referral center (Careggi Hospital, Florence, Italy) from January 2006 to April 2009. The control group included patients consecutively treated with the Bogota bag (Jan 2006-Oct 2007), whereas the prospective group was comprised of patients treated with a VAC. All patients underwent abdominal decompressive surgery. Groups were compared based upon their IAP, SOFA score, serial arterial lactates, the duration of having their abdomen open, the need for mechanical ventilation (MV) along with length of ICU and hospital stay and mortality. Data were collected from the time of abdominal decompression until the end of pressure monitoring.
resultsThe Bogota and VAC groups were similar with regards to demography, admission diagnosis, severity of illness, and IAH grading. The VAC system was more effective in controlling IAP (P < 0.01) and normalizing serum lactates (P < 0.001) as compared to the Bogota bag during the first 24 hours after surgical decompression. There was no significant difference between the SOFA scores. When compared to the Bogota, the VAC group had a faster abdominal closure time (4.4 vs 6.6 days, P = 0.025), shorter duration of MV (7.1 vs 9.9 days, P = 0.039), decreased ICU length of stay (LOS) (13.3 vs 19.2 days, P = 0.024) and hospital LOS (28.5 vs 34.9 days; P = 0.019). Mortality rate did not differ significantly between the two groups.
conclusionsPatients with abdominal compartment syndrome who were treated with VAC decompression had a faster abdominal closure rate and earlier discharge from the ICU as compared to similar patients treated with the Bogota bag.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.