INTRODUCTION: The use of Negative Pressure Wound Therapy (NPWT) for temporary abdominal closure of open abdomen (OA) wounds is widely accepted. Published outcomes vary according to the specific nature and the aetiology that resulted in an OA. The aim of this study was to evaluate the effectiveness of a new NPWT system specifically used OA resulting from abdominal trauma. METHODS: A prospective study on trauma patients requiring temporary abdominal closure (TAC) with grade 1or 2 OA was carried out. All patients were treated with NPWT (RENASYS AB Smith & Nephew) to achieve TAC. The primary outcome measure was time taken to achieve fascial closure and secondary outcomes were complications and mortality. RESULTS: A total of 20 patients were included. Thirteen patients (65%) achieved fascial closure following a median treatment period of 3 days. Four patients (20%) died of causes unrelated to NPWT. Complications included fistula formation in one patient (5%) with spontaneous resolution during NPWT), bowel necrosis in a single patient (5%) and three cases of infection (15%). No fistulae were present at the end of NPWT. CONCLUSION: This new NPWT kit is safe and effective and results in a high rate of fascial closure and low complication rates in the severely injured trauma patient.
展开▼
机译：简介：负压伤口疗法（NPWT）用于暂时闭合腹部开放性腹部（OA）伤口的用途已得到广泛接受。根据导致OA的具体性质和病因，已发表的结果会有所不同。这项研究的目的是评估一种新的NPWT系统的有效性，该系统专门用于腹部创伤导致的OA。方法：对需要临时腹部闭合（TAC），1级或2级OA的创伤患者进行了一项前瞻性研究。所有患者均接受NPWT（RENASYS AB Smith＆Nephew）治疗以达到TAC。主要结果指标是完成筋膜闭合的时间，次要指标是并发症和死亡率。结果：总共包括20例患者。中位治疗3天后，有13位患者（65％）筋膜闭合。四名患者（20％）死于与NPWT无关的原因。并发症包括一名患者的瘘管形成（5％），并在NPWT过程中自发消退），一名患者的肠坏死（5％）和三例感染（15％）。 NPWT末尾没有瘘管。结论：这种新的NPWT试剂盒是安全有效的，可在严重受伤的创伤患者中实现高筋膜闭合率和低并发症发生率。
展开▼
