[Fascial abdominal closure is a key factor of effective VAC-assisted laparostomy].

Q4 Medicine

Khirurgiya Pub Date : 2025-01-01 DOI:10.17116/hirurgia202504161

A A Shchegolev, R S Tovmasyan, A E Markarov, A Yu Chevokin, M V Vasiliev, V V Plotnikov, T G Muradyan

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引用次数: 0

Abstract

Objective: To evaluate the efficiency of various methods of primary fascial abdominal closure in VAC-laparostomy.

Material and methods: The study included 94 patients with traumatic and non-traumatic abdominal disasters. Treatment strategy of «open abdomen» (OA) was used. The following methods of fascial closure (FC) were used: primary fascial suturing (PFS) and various options for vacuum-assisted closure (VAC) including options without alloplasty (VAC-suturing) and with abdominal wall alloplasty (VAC-alloplasty).

Results: The overall mortality was 34% (32 patients). Of these, 26 ones died before FC (27.7% of total number of patients and 81.2% of total number of deaths), and 6 patients after FC onset (6.4% of total number of patients and 18.8% of total number of deaths). Attempts of FC were made in 68 patients. Successful FC was performed in 45 patients (66.2% of all attempts).

Conclusion: The best results were achieved after VAC-alloplasty (IPOM in-lay). FC through VAC-alloplasty with OA strategy significantly improves the results of treatment.

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[腹筋膜闭合是vaca辅助剖腹造口术有效的关键因素]。

目的：评价不同腹筋膜一期缝合方法在腹腔腹腔吻合术中的应用效果。材料与方法：研究对象为94例外伤性和非外伤性腹部损伤患者。采用“开腹”（OA）治疗策略。采用了以下筋膜闭合（FC）方法：初级筋膜缝合（PFS）和各种真空辅助闭合（VAC）选择，包括无同种异体成形术（VAC-缝合术）和腹壁同种异体成形术（VAC-alloplasty）。结果：总死亡率为34%（32例）。其中FC发病前死亡26例（占总发病人数的27.7%，总死亡人数的81.2%），FC发病后死亡6例（占总发病人数的6.4%，总死亡人数的18.8%）。68例患者尝试了FC。45例患者（66.2%）成功行FC。结论：异体vaca成形术（IPOM in-lay）效果最好。通过vaca异体成形术与OA策略的FC显著改善了治疗效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Khirurgiya Medicine-Medicine (all)

CiteScore

0.70

自引率

0.00%

发文量

161

期刊介绍： Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень