[Clinical application of vacuum pack system for temporary abdominal closure]
Jin-bo Jiang1, Yong Dai, Min Zhu
1Department of General Surgery, Qilu Hospital, Shandong University, Jinan 250012, China. rjzhdshcs@163.com
Summary
This study shows a vacuum pack system is an effective temporary abdominal closure method for open abdomens. It simplifies management and allows primary closure in most patients with few complications.
Area of Science:
- Surgical Innovation
- Trauma Surgery
- Abdominal Wall Reconstruction
Background:
- Open abdomen management presents challenges in temporary wound closure.
- Effective temporary closure is crucial for preventing complications and facilitating definitive repair.
Purpose of the Study:
- To evaluate the clinical utility of a novel vacuum pack system for temporary abdominal wound closure.
- To assess the efficacy and complication rates associated with this vacuum system in managing open abdomens.
Main Methods:
- A vacuum pack system utilizing polyethylene sheeting, surgical towels, silicone drains, and adhesive drapes was employed.
- Clinical data from 13 trauma patients requiring temporary abdominal closure were retrospectively analyzed.
- Indications for use and subsequent complications were systematically reviewed.
Main Results:
- The vacuum pack system was used 15 times across 13 patients for various indications including increased intra-abdominal pressure, reexploration, and damage control.
- Primary fascial closure was achieved in 7 patients (53.8%), while 5 (38.5%) required skin grafting.
- No cases of enterocutaneous fistula or evisceration were observed; three patients (23.1%) developed intra-abdominal abscesses.
Conclusions:
- The vacuum pack system serves as a superior temporary abdominal wound closure device.
- This technique is simple, easily mastered, and facilitates primary closure in the majority of cases with a low complication rate.
