ArticleThe journal of trauma and acute care surgery2026
Noninvasive fascial traction improves primary fascial closure and reduces the incidence of incisional hernia in open abdomens.
Article in The journal of trauma and acute care surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundOpen abdomens (OA) remain a major source of morbidity and mortality in trauma and emergency general surgery (EGS). Fascial traction has been shown to improve primary closure of the OA. However, reports on the incidence of incisional hernias (IH) after OA closure are scarce. The purpose of this study was to evaluate factors associated with primary fascial closure and the development of IH in OA managed with two different methods.
methodsA retrospective cohort study of all OA patients with midline laparotomies for trauma and EGS (January 2019 to October 2024) in a level 1 trauma center. Patients were divided into two groups, those treated with a noninvasive fascial traction device in conjunction with negative pressure wound therapy (NPWT) system (AbClo + AbThera) and those treated only with NPWT system. Outcomes included fascial width at closure attempt, primary closure (fascia-to-fascia), and incidence of IH. Univariate regression models were performed to identify factors associated with IH.
resultsA total of 143 patients met inclusion criteria, 85 (59.4%) used AbClo + AbThera and 58 (40.6%) AbThera only. Primary closures were 94.1% (AbClo + AbThera) versus 72.4% (AbThera only); absolute risk difference 21.7% (95% CI: 9.5-34.8) and relative risk 1.30. Fascial widths were narrower in successful closures 6.0 versus 11.9 cm and in AbClo + AbThera (4.0 cm) versus AbThera alone (10.2 cm); 61.3% reduction in gap size; (all P <0.001). IH cumulative incidences were 28.8% (12-mo), 36.4% (24-mo). The 12-month incidence was lower with AbClo + AbThera (14.1%) versus AbThera alone (63.1%), P <0.0001. Fascia width ≥10 cm increased hernia risk (hazard ratio=3.71). The relative risk reduction in hernia risk was 60.7% with AbClo + AbThera; absolute risk reduction 24.8.
conclusionsManagement of OA with AbClo + AbThera improved fascial closure and reduced incisional hernias compared AbThera alone. ( J Trauma Acute Care Surg . 2026;100: 314-323. Copyright © 2026 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of the American Association for the Surgery of Trauma.). LEVEL OF EVIDENCE: Therapeutic/Care Management; Level IV.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
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.