Медицинская библиотека · Injury · 2018

Open abdomen and entero-atmospheric fistulae: An interim analysis from the International Register of Open Abdomen (IROA).

Coccolini Federico, Ceresoli Marco, Kluger Yoram, Kirkpatrick Andrew, Montori Giulia, Salvetti Fracensco, Fugazzola Paola, Tomasoni Matteo, Sartelli Massimo, Ansaloni Luca, Catena Fausto, Negoi Ionut, Zese Monica, Occhionorelli Savino, Shlyapnikov Sergei, Galatioto Christian, Chiarugi Massimo, Demetrashvili Zaza, Dondossola Daniele, Ioannidis Orestis, Novelli Giuseppe, Nacoti Mirco, Khor Desmond, Inaba Kenji, Demetriades Demetrios, Kaussen Torsten, Jusoh Asri Che, Ghannam Wagih, Sakakushev Boris, Guetta Ohad, Dogjani Agron, Costa Stefano, Singh Sandeep, Damaskos Dimitrios, Isik Arda, Yuan Kuo-Ching, Trotta Francesco, Rausei Stefano, Martinez-Perez Aleix, Bellanova Giovanni, Fonseca ViniciusCordeiro, Hernández Fernando, Marinis Athanasios, Fernandes Wellington, Quiodettis Martha, Bala Miklosh, Vereczkei Andras, Curado Rafael, Fraga Gustavo Pereira, Pereira Bruno M, Gachabayov Mahir, Chagerben Guillermo Perez, Arellano Miguel Leon, Ozyazici Sefa, Costa Gianluca, Tezcaner Tugan, Porta Matteo, Li Yousheng, Karateke Faruk, Manatakis Dimitrios, Mariani Federico, Lora Federic, Sahderov Ivan, Atanasov Boyko, Zegarra Sergio, Gianotti Luca, Fattori Luca, Ivatury Rao

СтатьяМногоцентровое исследованиеНаблюдательное исследованиеПеревод пока не подготовлен

Аннотация

INTRODUCTION

No definitive data describing associations between cases of Open Abdomen (OA) and Entero-atmospheric fistulae (EAF) exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) thus analyzed the International Register of Open Abdomen (IROA) to assess this question.

MATERIAL AND

METHODS

A prospective analysis of adult patients enrolled in the IROA.

RESULTS

Among 649 adult patients with OA 58 (8.9%) developed EAF. Indications for OA were peritonitis (51.2%) and traumatic-injury (16.8%). The most frequently utilized temporary abdominal closure techniques were Commercial-NPWT (46.8%) and Bogotà-bag (21.9%). Mean OA days were 7.9 ± 18.22. Overall mortality rate was 29.7%, with EAF having no impact on mortality. Multivariate analysis associated cancer (p = 0.018), days of OA (p = 0.003) and time to provision-of-nutrition (p = 0.016) with EAF occurrence.

CONCLUSION

Entero-atmospheric fistulas are influenced by the duration of open abdomen treatment and by the nutritional status of the patient. Peritonitis, intestinal anastomosis, negative pressure and oral or enteral nutrition were not risk factors for EAF during OA treatment.

Для цитирования: Coccolini Federico, Ceresoli Marco, Kluger Yoram, Kirkpatrick Andrew, Montori Giulia, Salvetti Fracensco, Fugazzola Paola, Tomasoni Matteo, Sartelli Massimo, Ansaloni Luca, Catena Fausto, Negoi Ionut, Zese Monica, Occhionorelli Savino, Shlyapnikov Sergei, Galatioto Christian, Chiarugi Massimo, Demetrashvili Zaza, Dondossola Daniele, Ioannidis Orestis, Novelli Giuseppe, Nacoti Mirco, Khor Desmond, Inaba Kenji, Demetriades Demetrios, Kaussen Torsten, Jusoh Asri Che, Ghannam Wagih, Sakakushev Boris, Guetta Ohad, Dogjani Agron, Costa Stefano, Singh Sandeep, Damaskos Dimitrios, Isik Arda, Yuan Kuo-Ching, Trotta Francesco, Rausei Stefano, Martinez-Perez Aleix, Bellanova Giovanni, Fonseca ViniciusCordeiro, Hernández Fernando, Marinis Athanasios, Fernandes Wellington, Quiodettis Martha, Bala Miklosh, Vereczkei Andras, Curado Rafael, Fraga Gustavo Pereira, Pereira Bruno M, Gachabayov Mahir, Chagerben Guillermo Perez, Arellano Miguel Leon, Ozyazici Sefa, Costa Gianluca, Tezcaner Tugan, Porta Matteo, Li Yousheng, Karateke Faruk, Manatakis Dimitrios, Mariani Federico, Lora Federic, Sahderov Ivan, Atanasov Boyko, Zegarra Sergio, Gianotti Luca, Fattori Luca, Ivatury Rao. Open abdomen and entero-atmospheric fistulae: An interim analysis from the International Register of Open Abdomen (IROA).. Injury. 2018. DOI: 10.1016/j.injury.2018.09.040.

Предметные рубрики MeSH

Abdominal Cavity Abdominal Wound Closure Techniques Adult Digestive System Surgical Procedures Female Humans Intestinal Fistula Male Middle Aged Negative-Pressure Wound Therapy Prospective Studies Treatment Outcome Young Adult

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