Open Abdomen Treatment after Aortic Aneurysm Repair with Vacuum-assisted Wound Closure and Mesh-mediated Fascial Traction
- Sörelius, K.
- Wanhainen, A.
- Acosta, S.
- Svensson, M.
- Djavani-Gidlund, K.
- Björck, M.
DOIAbstract
ObjectivesOpen abdomen (OA) treatment is sometimes necessary after surgery for aortic aneurysm (AA), to prevent or treat abdominal compartment syndrome (ACS). A multicentre study evaluating vacuum-assisted wound closure (100–150 mmHg) and mesh-mediated fascial traction (VAWCM) was performed.MethodsAll patients treated with OA after AA repair (2006–2009) were prospectively registered at four centres; those treated <5 days were excluded. All surviving patients underwent a 1-year follow-up, including computed tomography (CT) examination.ResultsAmong 1041 patients treated with open or endovascular repair of AA, 28 (2.9%) had OA treatment with VAWCM; another two had VAWCM after hybrid operations for thoraco-abdominal AA. Eighteen (60%) were oper...
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