Negative Pressure Wound Therapy versus modified Barker Vacuum Pack as temporary abdominal closure technique for Open Abdomen management: a four-year experience
Abstract Background We reviewed our experience with patients presenting with trauma and peritonitis who underwent an open abdomen (OA) procedure, and compared outcomes between Negative Pressure Wound Therapy (NPWT) and a modified Barker Vacuum Pack (mBVP) technique. Methods In this descriptive study...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2017-07-01
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| Series: | BMC Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s12893-017-0281-3 |
| _version_ | 1811236838044598272 |
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| author | Giulia Montori Niccolò Allievi Federico Coccolini Leonardo Solaini Luca Campanati Marco Ceresoli Paola Fugazzola Roberto Manfredi Stefano Magnone Matteo Tomasoni Luca Ansaloni |
| author_facet | Giulia Montori Niccolò Allievi Federico Coccolini Leonardo Solaini Luca Campanati Marco Ceresoli Paola Fugazzola Roberto Manfredi Stefano Magnone Matteo Tomasoni Luca Ansaloni |
| author_sort | Giulia Montori |
| collection | DOAJ |
| description | Abstract Background We reviewed our experience with patients presenting with trauma and peritonitis who underwent an open abdomen (OA) procedure, and compared outcomes between Negative Pressure Wound Therapy (NPWT) and a modified Barker Vacuum Pack (mBVP) technique. Methods In this descriptive study, we retrospectively analyzed data regarding all patients who underwent OA for intra-abdominal sepsis or abdominal trauma at our Centre from January 2012 to December 2015. Demographic data, co-morbidities, indications to surgery, intra-operative details and Björck classification grade were considered. Outcomes included were: time to closure in days, fascial closure rates, ICU and hospital stay, in-hospital and overall mortality, and entero-atmospheric fistula rate. Results A total of 83 cases were considered. Mean closure time was 6 days versus 6.5 days (p = 0.71) in NPWT and mBVP groups, respectively; the fascial closure rate was 75.4% versus 93.8% (p = 0.10). At multivariate analysis, in-hospital and overall mortality were significantly higher within the mBVP, as compared to NPWT (OR 3.8, 95% CI 1.1 to 13.1, p = 0.02 – OR 4.2, 95% CI 1.2 to 14.1, p = 0.01). Entero-atmospheric fistula rate was 2.6% in the two groups. Conclusions NPWT as a temporary abdominal closure technique, as compared to mBVP, appears to be associated with better outcomes in terms of mortality. |
| first_indexed | 2024-04-12T12:16:02Z |
| format | Article |
| id | doaj.art-ca1c6a274b3c48f0890c6b7ee366b590 |
| institution | Directory Open Access Journal |
| issn | 1471-2482 |
| language | English |
| last_indexed | 2024-04-12T12:16:02Z |
| publishDate | 2017-07-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Surgery |
| spelling | doaj.art-ca1c6a274b3c48f0890c6b7ee366b5902022-12-22T03:33:26ZengBMCBMC Surgery1471-24822017-07-011711610.1186/s12893-017-0281-3Negative Pressure Wound Therapy versus modified Barker Vacuum Pack as temporary abdominal closure technique for Open Abdomen management: a four-year experienceGiulia Montori0Niccolò Allievi1Federico Coccolini2Leonardo Solaini3Luca Campanati4Marco Ceresoli5Paola Fugazzola6Roberto Manfredi7Stefano Magnone8Matteo Tomasoni9Luca Ansaloni10Unit of General Surgery, Papa Giovanni XXIII HospitalUnit of General Surgery, Papa Giovanni XXIII HospitalUnit of General Surgery, Papa Giovanni XXIII HospitalUnit of General Surgery, Papa Giovanni XXIII HospitalUnit of General Surgery, Papa Giovanni XXIII HospitalUnit of General Surgery, Papa Giovanni XXIII HospitalUnit of General Surgery, Papa Giovanni XXIII HospitalUnit of General Surgery, Papa Giovanni XXIII HospitalUnit of General Surgery, Papa Giovanni XXIII HospitalUnit of General Surgery, Papa Giovanni XXIII HospitalUnit of General Surgery, Papa Giovanni XXIII HospitalAbstract Background We reviewed our experience with patients presenting with trauma and peritonitis who underwent an open abdomen (OA) procedure, and compared outcomes between Negative Pressure Wound Therapy (NPWT) and a modified Barker Vacuum Pack (mBVP) technique. Methods In this descriptive study, we retrospectively analyzed data regarding all patients who underwent OA for intra-abdominal sepsis or abdominal trauma at our Centre from January 2012 to December 2015. Demographic data, co-morbidities, indications to surgery, intra-operative details and Björck classification grade were considered. Outcomes included were: time to closure in days, fascial closure rates, ICU and hospital stay, in-hospital and overall mortality, and entero-atmospheric fistula rate. Results A total of 83 cases were considered. Mean closure time was 6 days versus 6.5 days (p = 0.71) in NPWT and mBVP groups, respectively; the fascial closure rate was 75.4% versus 93.8% (p = 0.10). At multivariate analysis, in-hospital and overall mortality were significantly higher within the mBVP, as compared to NPWT (OR 3.8, 95% CI 1.1 to 13.1, p = 0.02 – OR 4.2, 95% CI 1.2 to 14.1, p = 0.01). Entero-atmospheric fistula rate was 2.6% in the two groups. Conclusions NPWT as a temporary abdominal closure technique, as compared to mBVP, appears to be associated with better outcomes in terms of mortality.http://link.springer.com/article/10.1186/s12893-017-0281-3Temporary abdominal closureNegative Pressure Wound TherapyBarker Vacuum PackOpen AbdomenTraumaEmergency surgery |
| spellingShingle | Giulia Montori Niccolò Allievi Federico Coccolini Leonardo Solaini Luca Campanati Marco Ceresoli Paola Fugazzola Roberto Manfredi Stefano Magnone Matteo Tomasoni Luca Ansaloni Negative Pressure Wound Therapy versus modified Barker Vacuum Pack as temporary abdominal closure technique for Open Abdomen management: a four-year experience BMC Surgery Temporary abdominal closure Negative Pressure Wound Therapy Barker Vacuum Pack Open Abdomen Trauma Emergency surgery |
| title | Negative Pressure Wound Therapy versus modified Barker Vacuum Pack as temporary abdominal closure technique for Open Abdomen management: a four-year experience |
| title_full | Negative Pressure Wound Therapy versus modified Barker Vacuum Pack as temporary abdominal closure technique for Open Abdomen management: a four-year experience |
| title_fullStr | Negative Pressure Wound Therapy versus modified Barker Vacuum Pack as temporary abdominal closure technique for Open Abdomen management: a four-year experience |
| title_full_unstemmed | Negative Pressure Wound Therapy versus modified Barker Vacuum Pack as temporary abdominal closure technique for Open Abdomen management: a four-year experience |
| title_short | Negative Pressure Wound Therapy versus modified Barker Vacuum Pack as temporary abdominal closure technique for Open Abdomen management: a four-year experience |
| title_sort | negative pressure wound therapy versus modified barker vacuum pack as temporary abdominal closure technique for open abdomen management a four year experience |
| topic | Temporary abdominal closure Negative Pressure Wound Therapy Barker Vacuum Pack Open Abdomen Trauma Emergency surgery |
| url | http://link.springer.com/article/10.1186/s12893-017-0281-3 |
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