Evidence map›Paper›PMID 35147749›Full record

ArticleLangenbeck's archives of surgery2022

Vertical traction device prevents abdominal wall retraction and facilitates early primary fascial closure of septic and non-septic open abdomen.

Stephen Fung, Hany Ashmawy, Christian Krieglstein, Thomas Halama, Dustin Schilawa, Oliver Fuckert, Anita Hees, Feride Kröpil, Alexander Rehders, Nadja C Lehwald-Tywuschik and 1 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Langenbeck's archives of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 11% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 15 citations in OpenAlex.

  1. FasciotensHernia : the journal of hernias and abdominal wall surgery · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 5 institutions in 1 country.

Stephen FungDepartment of Surgery (A), Heinrich Heine University and University Hospital Duesseldorf, Moorenstrasse 5, 40225, Duesseldorf, Germany. stephen.fung@med.uni-duesseldorf.de.
Hany AshmawyDepartment of Surgery (A), Heinrich Heine University and University Hospital Duesseldorf, Moorenstrasse 5, 40225, Duesseldorf, Germany.
Christian KrieglsteinDepartment of Surgery, St. Elisabeth Krankenhaus Köln, Werthmannstr. 1, 50935, Cologne, Germany.
Thomas HalamaDepartment of Surgery, St. Vinzenz-Hospital, Merheimer Str. 221-223, 50733, Cologne, Germany.
Dustin SchilawaDepartment of Surgery, St. Rochus Krankenhaus, Glückaufstraße 10, 44575, Castrop-Rauxel, Germany.
Oliver FuckertDepartment of Surgery, Lukas Krankenhaus, Hindenburgstraße 56, 32257, Bünde, Germany.
Anita HeesDepartment of Surgery, St.-Marien Krankenhaus, Kampenstraße 51, 57072, Siegen, Germany.
Feride KröpilDepartment of Surgery (A), Heinrich Heine University and University Hospital Duesseldorf, Moorenstrasse 5, 40225, Duesseldorf, Germany.
Alexander RehdersDepartment of Surgery (A), Heinrich Heine University and University Hospital Duesseldorf, Moorenstrasse 5, 40225, Duesseldorf, Germany.
Nadja C Lehwald-Tywuschik *Department of Surgery (A), Heinrich Heine University and University Hospital Duesseldorf, Moorenstrasse 5, 40225, Duesseldorf, Germany.
Wolfram Trudo Knoefel *Department of Surgery (A), Heinrich Heine University and University Hospital Duesseldorf, Moorenstrasse 5, 40225, Duesseldorf, Germany.
Düsseldorf University Hospital · DEHeinrich Heine University Düsseldorf · DELukaskrankenhaus · DEMalteser Krankenhaus St. Anna · DEUniversity Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeOne of the major challenges in the management of patients with septic and non-septic open abdomen (OA) is to control abdominal wall retraction. The aim of this study was to evaluate the impact of a novel vertical traction device (VTD) on primary fascial closure (PFC) and prevention of fascial retraction.

methodsTwenty patients treated with OA were included in this retrospective multicenter study. All patients were initially stabilized with laparostomy and the abdomen temporarily sealed either with a Bogotá bag or a negative pressure wound therapy system (NPWT).

resultsThe mean duration of OA and fascia-to-fascia distance (FTF) prior to the VTD application were 3 days and 15 cm, respectively. At relook laparotomy 48 h after VTD implementation, the mean FTF distance significantly decreased to 10 cm (p = 0.0081). In all cases, PFC was achieved after a mean period of 7 days. Twelve patients received the VTD in combination with a NPWT, whereas in eight patients, the device was combined with an alternative temporary abdominal closure system (TAC). Although not statistically significant, the FTF distance remarkably decreased in both groups at relook laparotomy 48 h following the device implementation. The mean periods of PFC for patients with septic and non-septic OA were comparable (7.5 vs. 7 days). During follow-up, two patients developed an incisional hernia.

conclusionVertical traction device prevents fascial retraction and facilitates early PFC in OA. In combination with NPWT, rapid fascial closure of large abdominal defects can be achieved.

Indexed as

Abdominal WallAbdominal Wound Closure TechniquesNegative-Pressure Wound TherapyAbdomenFasciaFasciotomyHumansSurgical MeshTractionFasciotensOpen abdomenRetraction preventionVertical traction

Identifiers

PMID35147749
PMCPMC8832079
OpenAlexW4211022750

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.