Khirurgiia · 2025
[Fascial abdominal closure is a key factor of effective VAC-assisted laparostomy].
Аннотация на английскомСтатьяНазвание 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.
Shchegolev A A, Tovmasyan R S, Markarov A E, Chevokin A Yu, Vasiliev M V, Plotnikov V V, Muradyan T G
Аннотация
OBJECTIVE: To evaluate the efficiency of various methods of primary fascial abdominal closure in VAC-laparostomy.
MATERIAL AND METHODS: The study included 94 patients with traumatic and non-traumatic abdominal disasters. Treatment strategy of «open abdomen» (OA) was used. The following methods of fascial closure (FC) were used: primary fascial suturing (PFS) and various options for vacuum-assisted closure (VAC) including options without alloplasty (VAC-suturing) and with abdominal wall alloplasty (VAC-alloplasty).
RESULTS: The overall mortality was 34% (32 patients). Of these, 26 ones died before FC (27.7% of total number of patients and 81.2% of total number of deaths), and 6 patients after FC onset (6.4% of total number of patients and 18.8% of total number of deaths). Attempts of FC were made in 68 patients. Successful FC was performed in 45 patients (66.2% of all attempts).
CONCLUSION: The best results were achieved after VAC-alloplasty (IPOM in-lay). FC through VAC-alloplasty with OA strategy significantly improves the results of treatment.
MATERIAL AND METHODS: The study included 94 patients with traumatic and non-traumatic abdominal disasters. Treatment strategy of «open abdomen» (OA) was used. The following methods of fascial closure (FC) were used: primary fascial suturing (PFS) and various options for vacuum-assisted closure (VAC) including options without alloplasty (VAC-suturing) and with abdominal wall alloplasty (VAC-alloplasty).
RESULTS: The overall mortality was 34% (32 patients). Of these, 26 ones died before FC (27.7% of total number of patients and 81.2% of total number of deaths), and 6 patients after FC onset (6.4% of total number of patients and 18.8% of total number of deaths). Attempts of FC were made in 68 patients. Successful FC was performed in 45 patients (66.2% of all attempts).
CONCLUSION: The best results were achieved after VAC-alloplasty (IPOM in-lay). FC through VAC-alloplasty with OA strategy significantly improves the results of treatment.