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Vacuum-Assisted wou...
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Acosta, StefanLund University,Lunds universitet,Vaskulära sjukdomar - kliniska studier,Forskargrupper vid Lunds universitet,Vascular Diseases - Clinical Research,Lund University Research Groups
(författare)
Vacuum-Assisted wound closure and mesh-mediated fascial traction for open abdomen therapy - a systematic review
- Artikel/kapitelEngelska2017
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LIBRIS-ID:oai:lup.lub.lu.se:e253c86c-8fad-471e-b216-902f7bd24b35
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https://lup.lub.lu.se/record/e253c86c-8fad-471e-b216-902f7bd24b35URI
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https://doi.org/10.5603/AIT.a2017.0023DOI
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https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-334973URI
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Språk:engelska
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Sammanfattning på:engelska
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Background: The aim of this paper was to review the literature on vacuum-Assisted wound closure and mesh-mediated fascial traction (VAWCM) in open abdomen therapy. It was designed as systematic review of observational studies. Methods: A Pub Med, EMBASE and Cochrane search from 2007/01-2016/07 was performed combining the Medical Subject Headings "vacuum", "mesh-mediated fascial traction", "temporary abdominal closure", "delayed abdominal closure", "open abdomen", "abdominal compartment syndrome", "negative pressure wound therapy" or "vacuum assisted wound closure". Results: Eleven original studies were found including patients numbering from 7 to 111. Six studies were prospective and five were retrospective. Nine studies were on mixed surgical (n = 9), vascular (n = 6) and trauma (n = 6) patients, while two were exclusively on vascular patients. The primary fascial closure rate per protocol varied from 80-100%. The time to closure of the open abdomen varied between 9-32 days. The entero-Atmospheric fistula rate varied from 0-10.0%. The in-hospital survival rate varied from 57-100%. In the largest prospective study, the incisional hernia rate among survivors at 63 months of median follow-up was 54% (27/50), and 16 (33%) repairs out of 48 incisional hernias were performed throughout the study period. The study patients reported lower short form health survey (SF-36) scores than the mean reference population, mainly dependent on the prevalence of major co-morbidities. There was no difference in SF-36 scores or a modified ventral hernia pain questionnaire (VHPQ) at 5 years of follow up between those with versus those without incisional hernias. Conclusions: A high primary fascial closure rate can be achieved with the vacuum-Assisted wound closure and meshmediated fascial traction technique in elderly, mainly non-Trauma patients, in need of prolonged open abdomen therapy.
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Björck, MartinUppsala universitet,Uppsala University,Kärlkirurgi(Swepub:uu)mabjo425
(författare)
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Petersson, UlfLund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups(Swepub:lu)med-ufp
(författare)
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Vaskulära sjukdomar - kliniska studierForskargrupper vid Lunds universitet
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Anaesthesiology Intensive Therapy49:2, s. 139-1451642-57581731-2515
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