Combination of mesh, vacuum and traction closure technique for closure of the open abdomen and influential factor
SUN Jing-jun
Abstract：Objective To observe the therapeutic effects of the vacuum fascial traction and the role of body fluid volume for treatment on peritoneal closure process for traumatic abdominal trauma patients.Methods Research objects were temporarily unclosed abdominal trauma patients received vacuum fascial traction from 2010 January to 2014 January.The clinical data of abdominal closure and unclosed patients ( i.e., ventral hernia or peritoneal partially closed ) were observed .The influence of transfuse volume to abdominal close was detected .Results The average age of patients was (45.0 ± 10.1) years old, the average duration of treatment was (31.0 ±6.8) days.Peritoneal closure rate was 60%.Average fluid volume was 7.2 kg (range: -8.0~21.6 kg), namely average weight gained by 11.5%(range: -9.5%~27%) after treatment.Patients with weight gain≥10% had a lower facial closure rate than weight gain <10%(39%vs 77%).Facial closure rate seems to further decrease with weight gain 20%, suggesting a dose-response effect of progressive fluid accumulation .Conclusion The mesh, vacuum and traction closure technique can get higher peritoneal closure rate .But fluid overload is not conducive to the peritoneal closure .Therefore, for serious illness patients , overdose intravenous fluid resuscitation should be avoided .
Keywords：Abdominal traumaThe infusion volumePeritonealMeshvacuum andtraction closure technique
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：5( 847-850,851 )