ArticleHernia : the journal of hernias and abdominal wall surgery2014
Use of dynamic wound closure system in conjunction with vacuum-assisted closure therapy in delayed closure of open abdomen.
Article in Hernia : the journal of hernias and abdominal wall surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers, 2 of them syntheses that pooled it.
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Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 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
- Systematic review and meta-analysis of the open abdomen and temporary abdominal closure techniques in non-trauma patients.World journal of surgery · 2015Pooled it
- Delayed closure of open abdomen in septic patients is facilitated by combined negative pressure wound therapy and dynamic fascial suture.Surgical endoscopy · 2014Trial
- Stepwise plication of abdominal mesh technique for open abdomen closure.Acta cirurgica brasileira · 2026Article
- Early application of abdominal re-approximation anchor system for the management of the open abdomen.Scientific reports · 2025Article
- The abdominal compliance index and postoperative pain after laparoscopic gynecologic surgery: a preliminary observational cohort study.Turkish journal of medical sciences · 2025Observational
- Efficacy and safety of external tissue expansion technique in the treatment of soft tissue defects: a systematic review and meta-analysis of outcomes and complication rates.Burns & trauma · 2022Article
- New non-invasive device to promote primary closure of the fascia and prevent loss of domain in the open abdomen: a pilot study.Trauma surgery & acute care open · 2020Article
- Blurring the boundary between open abdomen treatment and ventral hernia repair.Langenbeck's archives of surgery · 2019Article
- Article
- Simple and safe technique for closure of midline abdominal wound dehiscence.Hernia : the journal of hernias and abdominal wall surgery · 2017Article
- Intra-abdominal Pressure Monitoring in Open Abdomen Management with Dynamic Abdominal Closure.The Indian journal of surgery · 2017Article
- New isolation technique for enteroatmospheric fistula in Björck 4 open abdomen.Hernia : the journal of hernias and abdominal wall surgery · 2017Article
- Delayed Closure of 61 Open Abdomen Patients Based on an Algorithm.The Indian journal of surgery · 2017Article
- The role of open abdomen in non-trauma patient: WSES Consensus Paper.World journal of emergency surgery : WJES · 2017Review
- The Reversal of Stoma Following Open Abdomen Management.The Indian journal of surgery · 2016Article
- Management of a Septic Open Abdomen Patient with Spontaneous Jejunal Perforation after Emergent C/S with Confounding Factor of Mild Acute Pancreatitis.Case reports in surgery · 2016Article
- Management of Necrotizing Fasciitis and Fecal Peritonitis following Ostomy Necrosis and Detachment by Using NPT and Flexi-Seal.Case reports in surgery · 2015Article
- Treatment of delayed jejunal perforation after irreducible femoral hernia repair with open abdomen management and delayed abdominal closure with skin flap approximation.International journal of surgery case reports · 2015Article
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Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimDefinitive abdominal closure may not be possible for several days or weeks after laparotomy in damage-control surgery, abdominal compartment syndrome and intraabdominal sepsis, until the patient has stabilized. Vacuum-assisted closure (VAC therapy(®), KCI, San Antonio, TX, USA) and abdominal re-approximation anchor system (ABRA, Canica, Almonte, Ontario, Canada) are novel techniques in delayed closure of open abdomen. Our aim is to present the use of these strategies in the management of 7 patients with open abdomen.
methodsBetween August 2010 and December 2011, 7 patients with severe peritonitis were stabilized by laparotomy and treated with either ABRA system or ABRA system in conjunction with VAC dressing. VAC dressing applied to 4 patients initially and followed by ABRA. ABRA was applied alone to remaining 3 patients. Demographic data and patient characteristics, timing of VAC dressing and ABRA system were recorded. ICU and hospital stay and development of incisional hernia were also recorded. Stage of open abdomen, width of abdominal defect, extent to damage to fascia, and pressure sores were staged.
resultsThe mean duration with VAC dressing before ABRA application was 18 days. The mean duration of ABRA application was 53 days. The average width of the abdominal defect was 18 cm. The average length of defect was 20.8 cm. Delayed primary abdominal closure was accomplished in 6 patients without further surgery. Incisional hernia with a small abdominal defect developed in 2 patients.
conclusionAbdominal re-approximation anchor system and VAC dressing can be used separately or in conjunction with each other for closure of delayed open abdomen successfully.
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Registered trials
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