Open abdomen treatment after aortic aneurysm repair with vacuum-assisted wound closure and mesh-mediated fascial closure
- Sörelius, Karl
- Wanhainen, Anders
- Acosta, Stefan
- Svensson, Mats
- Gidlund, Khatereh Djavani
- Björck, Martin
DOIAbstract
Objectives: Open 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. Methods: All 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. Results: Among 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%) w...
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