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Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
Published on: May 10, 2024
Topical negative pressure in managing severe peritonitis: a positive contribution?
Amin Ibrahim Amin1, Irshad A Shaikh
1Department of Surgery, Queen Margaret Hospital, Dunfermline, Fife, Scotland KY12 0SU, United Kingdom. ibrahim.amin@faht.scot.nhs.uk
World Journal of Gastroenterology
|July 18, 2009
Summary
Topical negative pressure (TNP) is a safe and effective method for managing severe peritonitis, leading to successful abdominal closure in most patients. This approach shows promise for complex abdominal cases.
Area of Science:
- Surgical innovation
- Critical care medicine
Background:
- Severe peritonitis presents significant management challenges.
- Traditional methods may have limitations in complex cases.
Purpose of the Study:
- To evaluate the efficacy and safety of topical negative pressure (TNP) in managing severe peritonitis.
- To assess outcomes in patients undergoing laparotomy for peritonitis treated with TNP.
Main Methods:
- Prospective analysis of 20 patients with severe peritonitis treated with TNP.
- Utilized the VAC(R) Abdominal Dressing System and VAC GranuFoam.
- Dressing changes every 2-3 days.
Main Results:
- Successful abdominal closure achieved in 15/20 patients within 4.53 days.
- One patient required relaparotomy; two developed intestinal fistulae.
- All 20 patients survived, with some requiring later reconstruction.
Conclusions:
- Topical negative pressure (TNP) is a safe therapeutic option for severe peritonitis.
- Further research is warranted to establish TNP's definitive role in complex abdominal conditions.
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