Langenbeck's archives of surgery · 2025
Mesh-mediated fascial traction for open abdomen management to prevent planned ventral hernias: a retrospective cohort.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Ramírez-Giraldo Camilo, Rincón-Nieto Nicolás, Hernández-Vesga Julián, Turizo Jorge Luis, Pesce Antonio, Agudelo-Delgadillo Daniel, Santamaría-Forero Sofía, Isaza-Restrepo Andrés
Аннотация
BACKGROUND: Open abdomen is indicated in some clinical scenarios, but it introduces new challenges like the development of planned incisional hernias; new management techniques for temporary closure in open abdomen such as negative pressure wound therapy and mesh-mediated fascial traction have shown an incidence reduction of this outcome. However, for successful abdominal wall closure rates, there is limited evidence evaluating the factors associated with it when mesh-mediated fascial traction is employed in the context of open abdomen.
METHODS: We conducted a retrospective cohort analysis of patients managed with mesh-mediated fascial traction at Méderi Hospital Network from 2020 to 2025. Demographic data, clinical characteristics, surgical variables, and postoperative outcomes were systematically evaluated.
RESULTS: Ninety-two patients were included, achieving a definitive abdominal wall closure success rate of 70.7%. Closure failure was significantly correlated with more than four peritoneal lavage procedures, intestinal resection, and initial fascial defects greater than 7.5 cm. Primary indications for OA management were peritonitis/sepsis (34.8%) and bowel obstruction (19.6%).
CONCLUSIONS: Mesh-mediated fascial traction is effective for definitive abdominal wall closure in a majority of patients. However, identifying those at increased risk for closure failure is vital. Utilizing a tailored decision-making algorithm based on specific predictors can optimize clinical outcomes and reduce healthcare costs.
METHODS: We conducted a retrospective cohort analysis of patients managed with mesh-mediated fascial traction at Méderi Hospital Network from 2020 to 2025. Demographic data, clinical characteristics, surgical variables, and postoperative outcomes were systematically evaluated.
RESULTS: Ninety-two patients were included, achieving a definitive abdominal wall closure success rate of 70.7%. Closure failure was significantly correlated with more than four peritoneal lavage procedures, intestinal resection, and initial fascial defects greater than 7.5 cm. Primary indications for OA management were peritonitis/sepsis (34.8%) and bowel obstruction (19.6%).
CONCLUSIONS: Mesh-mediated fascial traction is effective for definitive abdominal wall closure in a majority of patients. However, identifying those at increased risk for closure failure is vital. Utilizing a tailored decision-making algorithm based on specific predictors can optimize clinical outcomes and reduce healthcare costs.