Time to Terminate Vacuum-assisted Closure and Convert to Primary Abdominal Closure in Intra-abdominal Sepsis
Introduction:There is no widely accepted surgical technique in intra-abdominal sepsis and there is also limited data on available surgical techniques and their outcomes. There is no significant difference between these techniques. The aim of the laparotomy, which is performed to control the source o...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2019-09-01
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| Series: | İstanbul Medical Journal |
| Subjects: | |
| Online Access: |
http://imj.galenos.com.tr/archives/archive-detail/article-preview/time-to-terminate-vacuum-assisted-closure-and-conv/30563
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| _version_ | 1797908653558202368 |
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| author | Murat Çikot Eyüp Gemici Nuri Alper Sahbaz |
| author_facet | Murat Çikot Eyüp Gemici Nuri Alper Sahbaz |
| author_sort | Murat Çikot |
| collection | DOAJ |
| description | Introduction:There is no widely accepted surgical technique in intra-abdominal sepsis and there is also limited data on available surgical techniques and their outcomes. There is no significant difference between these techniques. The aim of the laparotomy, which is performed to control the source of sepsis, is to reduce mortality. This retrospective study was performed to investigate daily analysis of the effects of vacuum-assisted closure (VAC) on intra-abdominal inflammation, sepsis and mortality.Methods:The study included 159 patients who underwent VAC technique between January 2010 and April 2017. Statistical analysis of the effects of VAC technique was performed on a daily basis using APACHE IV score, Mannheim peritonitis index (MPI) and Sepsis-Related Organ Failure Assessment (SOFA) score.Results:VAC changes had a significant effect on APACHE IV score, MPI and SOFA score (p=0.0001). Although there was no significant difference in the SOFA scores between the 1st and 2nd changes or between the 3rd and 4th changes, there was a decrease in values over time.Conclusion:In the treatment of abdominal contamination with sepsis, VAC use had a positive effect on contamination by decreasing the predicted mortality rate on a daily basis. Although it had a positive effect on sepsis, the effect of VAC on sepsis alone was not significant. |
| first_indexed | 2024-04-10T10:56:00Z |
| format | Article |
| id | doaj.art-07a71fd8ec314bac8d075067b9d97c5b |
| institution | Directory Open Access Journal |
| issn | 2619-9793 2148-094X |
| language | English |
| last_indexed | 2024-04-10T10:56:00Z |
| publishDate | 2019-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | İstanbul Medical Journal |
| spelling | doaj.art-07a71fd8ec314bac8d075067b9d97c5b2023-02-15T16:19:58ZengGalenos Yayineviİstanbul Medical Journal2619-97932148-094X2019-09-0120548749110.4274/imj.galenos.2019.7123513049054Time to Terminate Vacuum-assisted Closure and Convert to Primary Abdominal Closure in Intra-abdominal SepsisMurat Çikot0Eyüp Gemici1Nuri Alper Sahbaz2 İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, Clinic of General Surgery, İstanbul, Turkey İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, Clinic of General Surgery, İstanbul, Turkey İstanbul Bakırköy Dr. Sadi Konuk Training and Research Hospital, Clinic of General Surgery, İstanbul, Turkey Introduction:There is no widely accepted surgical technique in intra-abdominal sepsis and there is also limited data on available surgical techniques and their outcomes. There is no significant difference between these techniques. The aim of the laparotomy, which is performed to control the source of sepsis, is to reduce mortality. This retrospective study was performed to investigate daily analysis of the effects of vacuum-assisted closure (VAC) on intra-abdominal inflammation, sepsis and mortality.Methods:The study included 159 patients who underwent VAC technique between January 2010 and April 2017. Statistical analysis of the effects of VAC technique was performed on a daily basis using APACHE IV score, Mannheim peritonitis index (MPI) and Sepsis-Related Organ Failure Assessment (SOFA) score.Results:VAC changes had a significant effect on APACHE IV score, MPI and SOFA score (p=0.0001). Although there was no significant difference in the SOFA scores between the 1st and 2nd changes or between the 3rd and 4th changes, there was a decrease in values over time.Conclusion:In the treatment of abdominal contamination with sepsis, VAC use had a positive effect on contamination by decreasing the predicted mortality rate on a daily basis. Although it had a positive effect on sepsis, the effect of VAC on sepsis alone was not significant. http://imj.galenos.com.tr/archives/archive-detail/article-preview/time-to-terminate-vacuum-assisted-closure-and-conv/30563 vacuum-assisted closureintra-abdominal sepsiscontrolled explorationtreatment |
| spellingShingle | Murat Çikot Eyüp Gemici Nuri Alper Sahbaz Time to Terminate Vacuum-assisted Closure and Convert to Primary Abdominal Closure in Intra-abdominal Sepsis İstanbul Medical Journal vacuum-assisted closure intra-abdominal sepsis controlled exploration treatment |
| title | Time to Terminate Vacuum-assisted Closure and Convert to Primary Abdominal Closure in Intra-abdominal Sepsis |
| title_full | Time to Terminate Vacuum-assisted Closure and Convert to Primary Abdominal Closure in Intra-abdominal Sepsis |
| title_fullStr | Time to Terminate Vacuum-assisted Closure and Convert to Primary Abdominal Closure in Intra-abdominal Sepsis |
| title_full_unstemmed | Time to Terminate Vacuum-assisted Closure and Convert to Primary Abdominal Closure in Intra-abdominal Sepsis |
| title_short | Time to Terminate Vacuum-assisted Closure and Convert to Primary Abdominal Closure in Intra-abdominal Sepsis |
| title_sort | time to terminate vacuum assisted closure and convert to primary abdominal closure in intra abdominal sepsis |
| topic | vacuum-assisted closure intra-abdominal sepsis controlled exploration treatment |
| url |
http://imj.galenos.com.tr/archives/archive-detail/article-preview/time-to-terminate-vacuum-assisted-closure-and-conv/30563
|
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