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Related Experiment Videos

[Abdominal vacuum device with open abdomen].

P Oetting1, B Rau, P M Schlag

  • 1Klinik für Chirurgie und Chirurgische Onkologie, Universitätsmedizin Berlin, Charité Campus Buch, Robert-Rössle-Klinik im Helios-Klinikum Berlin, Lindenberger Weg 80, Berlin.

Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
|June 22, 2006
PubMed
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Abdominal vacuum-assisted closure (AVAC) is a favored technique for open abdomens, showing clinical feasibility and a low complication rate in gastrointestinal cancer surgery patients. This method facilitates direct fascial closure, with acceptable rates of ventral hernias post-treatment.

Area of Science:

  • Surgical Innovation
  • Gastrointestinal Surgery
  • Critical Care Medicine

Background:

  • Open abdomen management is crucial for peritonitis and abdominal compartment syndrome.
  • High complication rates necessitate improved temporary abdominal closure techniques.
  • Abdominal vacuum-assisted closure (AVAC) is an increasingly favored method.

Purpose of the Study:

  • To analyze the clinical experience with AVAC in patients undergoing gastrointestinal cancer surgery.
  • To evaluate the feasibility and complication rates of AVAC in this specific patient cohort.

Main Methods:

  • Retrospective analysis of 36 patients treated with AVAC devices from June 2003 to December 2005.
  • Indications included peritonitis (n=22), abdominal compartment syndrome (n=11), and necrotizing fasciitis (n=3).

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  • Thirty-four patients had a history of malignancy.

    • Main Results:

    • Median AVAC treatment duration was 13 days.
    • Complications included 11% enteric fistulas and 11% abdominal wall bleedings; no new intra-abdominal abscesses were observed.
    • In-hospital mortality was 22%; 72% achieved direct fascial closure, and 17% required synthetic mesh.

    Conclusions:

    • AVAC demonstrates clinical feasibility and a relatively low complication rate compared to other temporary abdominal closure methods.
    • The technique facilitates a high rate of direct fascial closure with an acceptable incidence of ventral hernias.
    • AVAC is a beneficial approach for temporary abdominal closure in selected surgical patients.