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[V.a.C.-therapy in abdominal surgery - experiences, limits and indications]
M Rexer1, D Ditterich, H Rupprecht
1Klinikum Fürth, Chirurgische Klinik 1, Fürth. martin.rexer@tiscali.de
Zentralblatt Fur Chirurgie
|May 29, 2004
Summary
Vacuum-assisted closure (V.A.C.)-therapy shows promise in abdominal surgery cases previously deemed unsuitable. These findings suggest reconsidering contraindications for V.A.C.-therapy in complex abdominal wound management.
Area of Science:
- Abdominal Surgery
- Wound Management
- Negative Pressure Wound Therapy
Background:
- Vacuum-assisted closure (V.A.C.)-therapy is underutilized in abdominal surgery due to unclear indications and technical uncertainties.
- Traditional contraindications limit V.A.C.-therapy application in complex abdominal wounds.
Observation:
- This study presents five septic abdominal surgery cases where V.A.C.-therapy was applied despite non-standard indications.
- Cases included ischiorectal abscess, Crohn's disease perforation, rectal carcinoma perforation, abdominal compartment syndrome, and anastomotic leak.
Findings:
- V.A.C.-therapy proved successful in managing these challenging abdominal wounds.
- In palliative cases, V.A.C.-therapy facilitated early chemotherapy administration in malignant wound beds.
Implications:
- Established contraindications for V.A.C.-therapy, such as enterocutaneous fistulas or malignancy, may not be absolute.
- Further research is needed to establish clear guidelines for V.A.C.-therapy indications in abdominal surgery.
- This approach could expand V.A.C.-therapy's utility in complex abdominal surgical cases.