ArticleFrontiers in surgery2025
Early results from the use of an innovative vertical fascial traction system for the management of patients with open abdomen.
Article in Frontiers in surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 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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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.
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Who cites it
3 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- FasciotensHernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Contemporary management of the open abdomen: standards, challenges, and future directions.Langenbeck's archives of surgery · 2026Pooled it
- Laparoscopic Suitcase Technique for lateral incisional hernias enables fully laparoscopic fascial closure: a retrospective comparative study.BMC surgery · 2026Article
Corrections and comments
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Authors and funding
13 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The combination of negative pressure wound therapy (NPWT) with dynamic fascial traction is currently considered the preferred method for temporary closure of the open abdomen (OA). However, this approach often requires repeated returns to the operating room for further fascial approximation. The aim of this study was to present our institution's experience with a vertical fascial traction device (VTD) for OA management and early closure. Methods: This is a prospective registry of patients treated with the VTD between May 2023 and the present. The system used is commercially named Fasciotens® Abdomen, manufactured by Fasciotens GmbH (Essen, Germany). Results: Definitive abdominal closure was achieved in 11 of 13 patients. Eight patients underwent primary midline suture, while 3 patients-all with pre-existing hernias-required mesh reinforcement. Two patients died before closure could be performed. Conclusions: The vertical fascial traction device applies continuous upward traction to the rectus abdominis fascia through an external frame anchored to the pelvis and thorax, thereby increasing abdominal compartment volume and reducing intra-abdominal pressure. This innovative technique facilitates earlier and safer abdominal wall closure and represents a promising adjunct in the management of the open abdomen.
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Registered trials
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