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Related Experiment Video

Updated: Mar 26, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
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Bogota-VAC - A Newly Modified Temporary Abdominal Closure Technique.

Christian von Rüden1,2, Emanuel Benninger3, Dieter Mayer4

  • 1Division of Trauma Surgery, Department of Surgery, University Hospital Zurich, Zurich, Switzerland. christian.vonrueden@usz.ch.

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
|January 28, 2016
PubMed
Summary

Bogota-VAC, a novel temporary abdominal closure technique, effectively reduces intra-abdominal and intracranial pressure in patients with abdominal compartment syndrome. This method improves patient outcomes by maintaining low pressures post-decompression.

Keywords:
Abdominal compartment syndrome (ACS)Intraabdominal pressure (IAP)Temporary abdominal closure (TAC)Vacuum-assisted closure (VAC)Volume reserve capacity (VRC)

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Area of Science:

  • Surgical Innovation
  • Trauma Surgery
  • Critical Care Medicine

Background:

  • Abdominal compartment syndrome (ACS) poses significant challenges in open abdomen management.
  • Existing temporary abdominal closure (TAC) techniques have limitations.

Purpose of the Study:

  • To introduce and evaluate the Bogota-VAC, a modified TAC technique.
  • To assess its efficacy in managing open abdomens post-ACS.

Main Methods:

  • Combined a Bogota bag with a vacuum-assisted closure (VAC) system.
  • Secured the bag to the fascia and applied negative pressure (50-75 mmHg).

Main Results:

  • Significantly reduced intra-abdominal pressure (IAP) from 22 ± 2 mmHg to 10 ± 2 mmHg (p = 0.01).
  • Decreased intracranial pressure (ICP) from 42 ± 13 mmHg to 15 ± 3 mmHg in TBI patients.
  • Increased cerebral perfusion pressure (CPP) from 57 ± 14 mmHg to 74 ± 2 mmHg.

Conclusions:

  • Bogota-VAC offers leak tightness, wound conditioning, and skin protection.
  • Provides superior volume reserve capacity, preventing recurrent pressure increases.
  • Facilitates nursing care in ACS management.