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Robotic Lateral Pancreaticojejunostomy for Chronic Pancreatitis

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[Vacuum-assisted laparostomy for advanced peritonitisis].

A V Shabunin^1,2, V V Bedin^1,2, D D Dolidze^1,2

¹Botkin Moscow City Hospital, Moscow, Russia.

|May 24, 2024

Summary

Negative pressure therapy, or vacuum-assisted laparostomy, significantly reduces complications and mortality in patients with advanced peritonitis. This approach also decreases surgical interventions and hospital stay duration.

Keywords:

negative pressure therapy open abdomen cavity peritonitis vacuum-assisted laparostomy

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Area of Science:

Abdominal Surgery
Critical Care Medicine
Infectious Diseases

Background:

Peritonitis is a serious abdominal condition requiring prompt management.
Advanced secondary peritonitis presents significant challenges in patient recovery and outcomes.

Purpose of the Study:

To assess the effectiveness of negative pressure therapy (NPT) in managing advanced secondary peritonitis.
To compare outcomes between patients treated with NPT and conventional methods.

Main Methods:

A comparative study involving 127 patients with advanced secondary peritonitis from 2019-2022.
Patients were divided into two groups: conventional treatment (skin suture and drainage) and NPT (vacuum-assisted laparostomy).
Key outcomes analyzed included surgical interventions, complications, hospital stay, and mortality.

Main Results:

The NPT group demonstrated significantly lower morbidity and a reduced mean number of surgeries.
Patients receiving NPT experienced shorter hospital stays and a higher incidence of fascial closure.
Mortality rates were notably lower in the NPT group compared to the conventional treatment group.

Conclusions:

Vacuum-assisted laparostomy is an effective strategy for advanced peritonitis, reducing complications and mortality.
NPT increases the likelihood of abdominal fascial closure and decreases the need for repeated surgical interventions.
This therapeutic approach optimizes patient recovery by shortening treatment duration and improving overall outcomes.