Evidence map›Paper›PMID 40377700›Full record

ArticleLangenbeck's archives of surgery2025

Temporary abdominal closure in trauma surgery: a comparative cohort study between open abdomen techniques with negative pressure therapy.

Yuri Thomé Machado Petrillo, Gabrieli Flesch da Silva, Vitor Steffens Bracht, Neiva Baldissera, Mariana Kumaira Fonseca, Leandro Totti Cavazzola

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Langenbeck's archives of surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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.

2 · The registry

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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Yuri Thomé Machado PetrilloFederal University of Rio Grande do Sul, Porto Alegre, Brazil. ypetrillo@hcpa.edu.br.ORCID http://orcid.org/0000-0001-9838-9605
Gabrieli Flesch da SilvaFeevale University, Novo Hamburgo, Brazil.ORCID http://orcid.org/0000-0003-4612-9881
Vitor Steffens BrachtGeneral and Trauma Surgery Department, Hospital de Pronto Socorro de Porto Alegre, Porto Alegre, Brazil.ORCID http://orcid.org/0009-0003-4896-1855
Neiva BaldisseraGeneral and Trauma Surgery Department, Hospital de Pronto Socorro de Porto Alegre, Porto Alegre, Brazil.ORCID http://orcid.org/0000-0002-3213-2548
Mariana Kumaira FonsecaGeneral and Trauma Surgery Department, Hospital de Pronto Socorro de Porto Alegre, Porto Alegre, Brazil.ORCID http://orcid.org/0000-0001-5921-1425
Leandro Totti CavazzolaFederal University of Rio Grande do Sul, Porto Alegre, Brazil.ORCID http://orcid.org/0000-0003-2356-2789

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of negative pressure therapy (NPT) to maintain an open abdomen (OA) is a well-established practice in trauma surgery. The aim of this study was to compare two techniques for temporary closure of the OA using negative pressure therapy NPT with regard to the outcome of definitive closure of the abdominal wall, the incidence of complications and mortality. METHODOLOGY: Controlled retrospective cohort study with trauma patients submitted to NPT as a method of maintaining OA. The groups were divided into "Group B", referring to the use of NPT by Barker dressing, and "Group V", referring to the use of NPT by RENASYS™ AB abdominal dressing.

resultsA total of 76 patients were analyzed (Group B, n = 48; Group V, n = 28), with mean age of 34 years, and 92% male. The groups were equivalent in their trauma severity scores. The overall rate of abdominal cavity closure was 38%, higher in Group V than in Group B (46%, n = 13 vs. 33%, n = 16, p = 0.374). The peritoneostomy outcome was significantly higher in group B (48%, n = 23 vs. 21%, n = 6, p = 0.028). Moderate negative correlation was observed between the duration of OA therapy and the rate of definitive closure of the abdominal cavity (ρ -0.637; p < 0.0001). Damage control surgery (DCS) and shorter duration of OA were identified as predictors of closure.

conclusionOA with NPT by industrial abdominal dressing decreases the rate of peritoniostomy as abdominal wall outcome compared to Barker dressing.

Indexed as

Abdominal InjuriesAbdominal Wound Closure TechniquesNegative-Pressure Wound TherapyOpen Abdomen TechniquesAcute Care SurgeryAdultCohort StudiesFemaleHumansInjury Severity ScoreMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesTreatment OutcomeYoung AdultMultiple traumaNegative pressure wound treatmentOpen abdomen techniquesSurgical treatment of trauma

Identifiers

PMID40377700
PMCPMC12084225

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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.