VACUUM ASSISTED CLOSURE OF LAPAROSTOMY WOUNDS “A NOVEL TECHNIQUE”

Syed Imran Hussain Andrabi, Jawad Ahmad, Munir A Rathore, Muhammad Yousaf

Abstract


Management of a laparostomy wound is contentious. Specific pathologies like severe intraabdominal sepsis, trauma requiring damage control, abdominal compartment syndrome, staged
abdominal repair and other complex abdominal pathologies can be managed with a novel
technique of Vacuum Assisted Closure dressing. This device applies sub-atmospheric pressure
that leads to reduced bowel wall edema , bacterial count and inflammatory burden found in open
abdominal wounds. This leads to a reduced need for frequent dressing changes, maintaining intact
skin and improvement in fluid management. Controlled clinical studies are needed to establish the
safety and effectiveness of this treatment strategy. We present our experience with this technique
suggesting it to be safe and effective. A brief outline of the working of Vacuum Assisted Closure
dressing is also presented.
Keywords: Vacuum assisted closure, dressing, laparostomy, burst abdomen, open abdomen

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References


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