Therapeutic alternatives for burst abdomen
Gabriëlle H van Ramshorst1, Hasan H Eker, Joris J Harlaar
1Erasmus University Medical Center, Department of Surgery, Rotterdam, The Netherlands.
Surgical Technology International
|May 4, 2010
Summary
Burst abdomen, a serious surgical complication, has poorly understood management strategies and outcomes. More research, including randomized controlled trials, is needed to improve patient treatment and reduce mortality.
Area of Science:
- Surgery
- Surgical Complications
- Wound Management
Background:
- Burst abdomen is a severe postoperative complication with high morbidity and mortality.
- Risk factors are linked to both patients and surgical procedures.
- Optimal management strategies for burst abdomen remain underexplored.
Purpose of the Study:
- To review current surgical outcomes and management options for burst abdomen.
- To identify gaps in evidence regarding the treatment of burst abdomen.
- To highlight the need for higher-quality research in this surgical area.
Main Methods:
- A systematic review of 27 studies reporting surgical outcomes for burst abdomen patients.
- Analysis of studies focusing on recurrence, mortality, and incisional hernia rates.
- Inclusion of studies with at least 10 patients and reported surgical outcomes.
Main Results:
- Most studies were retrospective, with limited data on large patient cohorts.
- Conservative treatments included saline-soaked gauze and negative pressure wound therapy.
- Operative options ranged from open abdomen techniques to mesh and flap closures.
Conclusions:
- Current treatment of burst abdomen yields unsatisfactory surgical outcomes.
- There is a significant lack of high-level evidence, particularly from prospective studies.
- Randomized controlled trials are essential to establish optimal treatment strategies for burst abdomen.
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