Background
Methods
Statistical analysis
Results
Adult patients
TAC technique | No. of patients [%] (total = 369) | Age [mean(SD)] | Male gender [%] | No. of dressing [n(SD)] | Days of open abdomen [n(SD)] | Definitive closure [%] | Fascia closure [%] | Complications during treatment [%] | Fistula [%] | Mortality during open [%] |
---|---|---|---|---|---|---|---|---|---|---|
Bogotà bag + skin closure | 31.8 | 56.5 (18.9) | 52.5 | 0.7 (1.1) | 5.0 (4.4) | 83.2 | 71.3 | 35.8 | 7.4 | 16.8 |
NPWT assisted | 44.2 | 58.7 (17.9) | 56.9 | 1.0 (1.6) | 5.0 (4.1) | 85.7 | 59.9 | 32.5 | 13.5 | 14.3 |
Barker vacuum pack | 12.7 | 50.1 (19.9) | 69.0 | 1.1 (1.6) | 6.6 (7.2) | 75.6 | 64.3 | 43.9 | 2.4 | 24.4 |
Wittmann patch | 11.4 | 63 (14.8) | 45.7 | 0.3 (0.6) | 6.6 (4.8) | 79.4 | 65.7 | 58.8 | 17.6 | 20.6 |
Total | 100.0 | 57.4 (18.4) | 55.8 | 0.9 (1.4) | 5.4 (4.8) | 82.8 | 64.7 | 38.2 | 10.5 | 17.2 |
Indication | No. of patients [n(%)] | Age [mean(SD)] | Male gender [%] | No. of dressing [n(SD)] | Days of open abdomen [n(SD)] | Definitive closure [%] | Fascia closure [%] | Complications during treatment [%] | Fistula [%] | Mortality during open [%] |
---|---|---|---|---|---|---|---|---|---|---|
Peritonitis | 178 (48.7%) | 61.9 (14.6) | 49.3 | 0.9 (1.4) | 5.2 (4.0) | 79.9 | 59.3 | 43.2 | 14.4 | 20.1 |
Pancreatitis | 14 (4.2%) | 60.9 (15.3) | 69.2 | 2.1 (2.2) | 12.1 (7.1) | 76.9 | 53.8 | 53.8 | 7.7 | 23.1 |
Ischemia | 32 (9.1%) | 69.8 (11.9) | 57.1 | 0.9 (0.9) | 5.7 (3.4) | 92.9 | 78.6 | 39.3 | 14.3 | 7.1 |
Vascular emergencies and hemorrhage | 44 (9.4%) | 64.6 (12.6) | 41.4 | 0.4 (0.8) | 3.7 (3.4) | 88.5 | 72.4 | 23.1 | 0.0 | 11.5 |
Post-operative ACS | 13 (3.9%) | 46.8 (20.1) | 25.0 | 0.4 (0.7) | 3.9 (2.6) | 66.7 | 50.0 | 58.3 | 8.3 | 33.3 |
Trauma | 74 (20.5%) | 39.5 (18.3) | 79.4 | 0.9 (1.6) | 5.4 (6.2) | 86.4 | 73.0 | 20.3 | 6.8 | 13.6 |
Other | 14 (4.2%) | 57.3 (19.3) | 53.8 | 1.4 (1.8) | 5.9 (5.5) | 75.0 | 46.2 | 41.7 | 8.3 | 25.0 |
Indication | TACT | No. of patients [%] (total = 178) | Male gender [%] | Definitive closure [%] | Fascia closure [%] | Complications during treatment [%] | Fistula [%] | Mortality during open [%] |
---|---|---|---|---|---|---|---|---|
Peritonitis | Bogotà bag + skin closure | 28.7 | 46.5 | 72.5 | 62.8 | 40.0 | 12.5 | 27.5 |
NPWT assisted | 46.0 | 49.3 | 85.7 | 53.6 | 33.3 | 14.3 | 14.3 | |
Barker vacuum pack | 7.3 | 63.6 | 80.0 | 72.7 | 70.0 | 0.0 | 20.0 | |
Wittmann patch | 18.0 | 48.1 | 76.9 | 63.0 | 61.5 | 23.1 | 23.1 | |
Total | 100.0 | 49.3 | 79.9 | 59.3 | 43.2 | 14.4 | 20.1 | |
Trauma | Bogotà bag + skin closure | 49.2 | 71.0 | 92.9 | 74.2 | 25.0 | 7.1 | 7.1 |
NPWT assisted | 28.6 | 94.4 | 88.2 | 77.8 | 17.6 | 11.8 | 11.8 | |
Barker vacuum pack | 22.2 | 78.6 | 71.4 | 64.3 | 14.3 | 0.0 | 28.6 | |
Total | 100.0 | 79.4 | 86.4 | 73.0 | 20.3 | 6.8 | 13.6 |
Pediatric patients
Open abdomen in pediatrics | |
---|---|
No. of patients | 33 |
Age | 5.9 (3.7) |
Male gender | 60.6% |
Indications | |
Peritonitis | 12% |
Pancreatitis | 6% |
Vascular emergencies and hemorrhage | 6% |
Post-operative ACS | 12% |
Other | 15% |
Missing | 48% |
No. of dressings | 0.3 (0.9) |
Days of open abdomen | 3.2 (3.1) |
Fistula | 3.4% |
Mortality during treatment | 3.4% |
Definitive closure | 96.6% |
Complications post closure | 53.6% |
Mortality post closure | 0.0% |
TAC techniques | |
Bogotà bag + skin closure | 30% |
Barker vacuum pack | 35% |
NPWT assisted | 35% |