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