کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4300280 1288417 2014 6 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Fluid volume overload negatively influences delayed primary facial closure in open abdomen management
ترجمه فارسی عنوان
اضافه بار حجم مایع منفی تأخیر در بستن صورت اولیه در مدیریت شکم باز است
کلمات کلیدی
شکم باز جابجایی فاشی با کمک خلاء و متصل به شبکه، بستن صورت اولیه، بیش از حد حجم سیالات
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی عمل جراحی
چکیده انگلیسی

Background and aimThe open abdomen (OA) is associated with significant morbidity and mortality, and its management poses a formidable challenge. Inability to achieve primary closure of the abdominal wall is one of the most severe complications of this technique. Factors influencing primary fascial closure, however, are unknown. This study aims to explore the influence of fluid volume overload on the application of vacuum-assisted and mesh-mediated fascial traction (VAWCM) in OA treatment.MethodsA review of patients undergoing OA management using VAWCM technique from January 2006 to November 2011 was performed. Patients with aged <18 y OA treatment for fewer than 5 d and abdominal wall hernia before OA treatment were excluded.ResultsAverage age was 45 ± 10.1 y and average OA treatment time was 31 ± 6.8 d. The complete fascial closure rate was 60%. The overall mean bodyweight-based fluid overload was 7.2 kg (range: −8.0 to +21.6 kg), representing a mean percent weight gain of 11.5% (range: −9.5% to +27%). Patients with fluid-related weight gain ≥10% had a lower primary facial closure rate than those with <10% (39% versus 77%). And primary facial closure rate seems to further decrease with fluid-related weight gain ≥20%, suggesting a dose-response effect of progressive fluid accumulation.ConclusionsThe VAWCM method provided a high primary fascial closure rate after long-term treatment of OA. Fluid volume overload negatively influences delayed primary facial closure. Judicious intravenous fluid resuscitation should be advocated in the therapy of critically ill patients.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of Surgical Research - Volume 187, Issue 1, March 2014, Pages 122–127
نویسندگان
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