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Temporary abdominal closure with the vacuum pack technique: a 5-year experience
1Uludağ University School of Medicine, Dept. of General Surgery, Bursa, Turkey. ozguch@uludag.edu.tr
Acta Chirurgica Belgica
|September 24, 2008
Summary
The vacuum pack technique for temporary abdominal closure is simple and inexpensive. While it allows primary fascial closure in about half of patients, it leads to a high rate of incisional hernia.
Area of Science:
- Abdominal Surgery
- Surgical Techniques
- Trauma Care
Background:
- Temporary abdominal closure (TAC) is crucial in managing complex abdominal conditions.
- The vacuum pack technique has gained increasing use for TAC.
Purpose of the Study:
- To review the authors' experience with the vacuum pack technique for temporary abdominal closure.
- To analyze demographic characteristics, mortality rates, and long-term complications.
Main Methods:
- Retrospective review of 74 patients undergoing TAC with the vacuum pack technique (2000-2005).
- Analysis of patient demographics, etiology, re-laparotomies, hospital stay, and closure types.
- Evaluation of mortality and long-term complications, specifically incisional hernia rates.
Main Results:
- The vacuum pack was used 139 times in 74 patients.
- Overall mortality rate was 60%.
- Primary fascial closure was achieved in 45% of cases, with a 50% incisional hernia rate. Graft placement resulted in a 10% incisional hernia rate (p < 0.05).
Conclusions:
- The vacuum pack technique is a simple, cost-effective method for TAC.
- While feasible for primary fascial closure in many patients, it is associated with a high incidence of incisional hernias, particularly after primary closure.
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