VACUUM ASSISTED CLOSURE OF LAPAROSTOMY WOUNDS A NOVEL TECHNIQUE
Abstract
Management of a laparostomy wound is contentious. Specific pathologies like severe intraabdominal sepsis, trauma requiring damage control, abdominal compartment syndrome, stagedabdominal 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
References
Tremblay LN, Feliciano DV, Schmidt J, Cava RA, Tchorz
KM, Ingram WL et al. Skin only or silo closure in the
critically ill patient with an open abdomen. Am J Surg
;182(6):670-75.
Fernandez L, Norwood S, Roettger R, Wilkins HE 3rd.
Temporary intravenous bag silo closure in severe abdominal
trauma. J Trauma 1996;40(2):258-260.
Barker DE, Kaufman HJ, Smith LA, Ciraulo DL, Richart CL,
Burns RP. Vacuum pack technique of temporary abdominal
closure: a 7-year experience with 112 patients. J Trauma
;48(2):201-206.
Bertelsen CA, Hillingsø JG. The use of topical negative
pressure in an open abdomen. Ugeskr Laeger 2007;
(21):1991-6.
Philbeck TE Jr, Whittington KT, Millsap MH, Briones RB,
Wight DG, Schroeder WJ. The clinical and cost effectiveness
J Ayub Med Coll Abbottabad 2007; 19(3)
of externally applied negative pressure wound therapy in the
treatment of wounds in home healthcare Medicare patients.
Ostomy Wound Manage 1999; 45(11): 41-50.
Collier M. Know-how: vacuum-assisted closure (VAC). Nurs
Times 1997; 93(5): 32-3.
Tang AT, Ohri SK, Haw MP. Novel application of vacuum
assisted closure technique to the treatment of sternotomy
wound infection. Eur J Cardiothorac Surg 2000;17(4): 482-4.
Morykwas MJ, Argenta LC, Shelton-Brown EI, McGuirt W.
Vacuum-assisted closure: a new method for wound control
and treatment: animal studies and basic foundation. Ann Plast
Surg 1997; 38(6): 553-62.
Morykwas MJ, Argenta LC. Nonsurgical modalities to
enhance healing and care of soft tissue wounds. J South
Orthop Assoc 1997; 6(4): 279-88.
Fabian TS, Kaufman HJ, Lett ED, Thomas JB, Rawl DK,
Lewis PL et al. The evaluation of subatmospheric pressure
and hyperbaric oxygen in ischemic full-thickness wound
healing. Am Surg2000; 66(12): 1136-43.
Smith LA, Barker DE, Chase CW, Somberg LB, Brock WB,
Burns RP. Vacuum pack technique of temporary abdominal
closure: a four-year experience. Am Surg 1997;63(12):1102-
Heller L, Levin SL, Butler CE. Management of abdominal
wound dehiscence using vacuum assisted closure in patients
with compromised healing. Am J Surg 2006;191(2):165.
Downloads
How to Cite
Issue
Section
License
Journal of Ayub Medical College, Abbottabad is an OPEN ACCESS JOURNAL which means that all content is FREELY available without charge to all users whether registered with the journal or not. The work published by J Ayub Med Coll Abbottabad is licensed and distributed under the creative commons License CC BY ND Attribution-NoDerivs. Material printed in this journal is OPEN to access, and are FREE for use in academic and research work with proper citation. J Ayub Med Coll Abbottabad accepts only original material for publication with the understanding that except for abstracts, no part of the data has been published or will be submitted for publication elsewhere before appearing in J Ayub Med Coll Abbottabad. The Editorial Board of J Ayub Med Coll Abbottabad makes every effort to ensure the accuracy and authenticity of material printed in J Ayub Med Coll Abbottabad. However, conclusions and statements expressed are views of the authors and do not reflect the opinion/policy of J Ayub Med Coll Abbottabad or the Editorial Board.
USERS are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles, or use them for any other lawful purpose, without asking prior permission from the publisher or the author. This is in accordance with the BOAI definition of open access.
AUTHORS retain the rights of free downloading/unlimited e-print of full text and sharing/disseminating the article without any restriction, by any means including twitter, scholarly collaboration networks such as ResearchGate, Academia.eu, and social media sites such as Twitter, LinkedIn, Google Scholar and any other professional or academic networking site.
