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Erschienen in:

03.09.2018 | Review

EHS clinical guidelines on the management of the abdominal wall in the context of the open or burst abdomen

verfasst von: M. López-Cano, J. M. García-Alamino, S. A. Antoniou, D. Bennet, U. A. Dietz, F. Ferreira, R. H. Fortelny, P. Hernandez-Granados, M. Miserez, A. Montgomery, S. Morales-Conde, F. Muysoms, J. A. Pereira, R. Schwab, N. Slater, A. Vanlander, G. H. Van Ramshorst, F. Berrevoet

Erschienen in: Hernia | Ausgabe 6/2018

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Abstract

Purpose

To provide guidelines for all surgical specialists who deal with the open abdomen (OA) or the burst abdomen (BA) in adult patients both on the methods used to close the musculofascial layers of the abdominal wall, and regarding possible materials to be used.

Methods

The guidelines were developed using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach including publications up to January 2017. When RCTs were available, outcomes of interest were quantitatively synthesized by means of a conventional meta-analysis. When only observational studies were available, a meta-analysis of proportions was done. The guidelines were written using the AGREE II instrument.

Results

For many of the Key Questions that were researched, there were no high quality studies available. While some strong recommendations could be made according to GRADE, the guidelines also contain good practice statements and clinical expertise guidance which are distinct from recommendations that have been formally categorized using GRADE.

Recommendations

When considering the OA, dynamic closure techniques should be prioritized over the use of static closure techniques (strong recommendation). However, for techniques including suture closure, mesh reinforcement, component separation techniques and skin grafting, only clinical expertise guidance was provided. Considering the BA, a clinical expertise guidance statement was advised for dynamic closure techniques. Additionally, a clinical expertise guidance statement concerning suture closure and a good practice statement concerning mesh reinforcement during fascial closure were proposed. The role of advanced techniques such as component separation or relaxing incisions is questioned. In addition, the role of the abdominal girdle seems limited to very selected patients.

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Simons MP, Aufenacker T, Bay-Nielsen M, Bouillot JL, Campanelli G, Conze J et al (2009) European Hernia Society guidelines on the treatment of inguinal hernia in adult patients. Hernia 13(4):343–403PubMedPubMedCentral

Muysoms FE, Antoniou SA, Bury K, Campanelli G, Conze J, Cuccurullo D et al (2015) European Hernia Society guidelines on the closure of abdominal wall incisions. Hernia 19(1):1–24PubMed

Antoniou SA, Agresta F, Garcia Alamino JM, Berger D, Berrevoet F, Brandsma HT et al (2018) European Hernia Society guidelines on prevention and treatment of parastomal hernias. Hernia 22(1):183–198CrossRefPubMed

HerniaSurge Group (2018) International guidelines for groin hernia management. Hernia 22(1):1–165

Field MJ, Lohr KN (eds) (1990) Clinical practice guidelines: directions for a new Agency. Institute of Medicine. National Academic Press, Washington DC, p. 58

López-Cano M, Pereira JA, Armengol-Carrasco M (2013) “Acute postoperative open abdominal wall”: Nosological concept and treatment implications. World J Gastrointest Surg 5(12):314–320PubMedPubMedCentral

Coccolini F, Montori G, Ceresoli M, Catena F, Ivatury R, Sugrue M et al (2017) IROA: International Register of Open Abdomen, preliminary results. World J Emerg Surg 12:10PubMedPubMedCentral

Willms A, Muysoms F, Güsgen C, Schwab R, Lock J, Schaaf S, Germer C, Richardsen I, Dietz U (2017) The Open Abdomen Route by EuraHS: introduction of the data set and initial results of procedures and procedure-related complications. Hernia 21(2):279–289PubMed

Cristaudo A, Jennings S, Gunnarsson R, DeCosta A (2017) Complications and mortality associated with temporary abdominal closure techniques: a systematic review and meta-analysis. Am Surg 83(2):191–216PubMed

10.

Guyatt GH, Oxman AD, Vist G, Kunz R, Falck-Ytter Y, Alonso-Coello P, Schünemann HJ (2008) Rating quality of evidence and strength of recommendations GRADE: an emerging consensus on rating quality of evidence and strength of recommendations. BMJ 336:924–926. http://www.gradeworkinggroup.org/. Accessed June 2016PubMedPubMedCentral

11.

Campbell A, Chang M, Fabian T, Franz M, Kaplan M, Moore F et al (2009) Management of the open abdomen: from initial operation to definitive closure. Am Surg 75:S1–S22PubMed

12.

Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR (1999) Guideline for prevention of surgical site infection, 1999. Centers for disease control and prevention (CDC) hospital infection control practices advisory committee. Am J Infect Control 27(2):97–132; (quiz 133-4; discussion 96)PubMed

13.

Björck M, Kirkpatrick AW, Cheatham M, Kaplan M, Leppäniemi A, De Waele JJ (2016) Amended Classification of the Open Abdomen. Scand J Surg 105(1):5–10PubMed

14.

http://www.cebm.brown.edu/openmeta/doc/openMA_help.html. Accessed Mar 2017

15.

Andrews J, Guyatt G, Oxman AD et al (2013) GRADE guidelines: 14. Going from evidence to recommendations: the significance and presentation of recommendations. J Clin Epidemiol 66:719–725PubMed

16.

Andrews JC, Schunemann HJ, Oxman AD et al (2013) GRADE guidelines: 15. Going from evidence to recommendation-determinants of a recommendation’s direction and strength. J Clin Epidemiol 66:726–735PubMed

17.

Busse JW, Craigie S, Juurlink DN, Buckley DN, Wang L, Couban RJ et al (2017) Guideline for opioid therapy and chronic noncancer pain. CMAJ 189(18):E659–E666PubMedPubMedCentral

18.

Brouwers M, Kho ME, Browman GP, Burgers JS, Cluzeau F, Feder G, Fervers B, Graham ID, Grimshaw J, Hanna S, Littlejohns P, Makarski J, Zitzelsberger L (2010) AGREE II: advancing guideline development, reporting and evaluation in healthcare. Can Med Assoc J 182:E839–E842. http://www.agreetrust.org/. Accessed June 2017PubMedPubMedCentral

19.

Sörelius K, Wanhainen A, Acosta S, Svensson M, Djavani-Gidlund K, Björck M (2013) Open abdomen treatment after aortic aneurysm repair with vacuum-assisted wound closure and mesh-mediated fascial traction. Eur J Vasc Endovasc Surg 45(6):588–594PubMed

20.

Brandl A, Laimer E, Perathoner A, Zitt M, Pratschke J, Kafka-Ritsch R (2014) Incisional hernia rate after open abdomen treatment with negative pressure and delayed primary fascia closure. Hernia 18(1):105–111PubMed

21.

Fortelny RH, Hofmann A, Gruber-Blum S, Petter-Puchner AH, Glaser KS (2014) Delayed closure of open abdomen in septic patients is facilitated by combined negative pressure wound therapy and dynamic fascial suture. Surg Endosc 28:735–740PubMed

22.

Miller RS, Morris JA Jr, Diaz JJ Jr, Herring MB, May AK (2005) Complications after 344 damage-control open celiotomies. J Trauma 2005 59(6):1365–1371. (discussion 1371-4)PubMed

23.

Vertrees A, Greer L, Pickett C, Nelson J, Wakefield M, Stojadinovic A, Shriver C (2008) Modern management of complex open abdominal wounds of war: a 5-year experience. J Am Coll Surg 207(6):801–809PubMed

24.

Montori G, Coccolini F, Manfredi R, Ceresoli M, Campanati L, Magnone S, Pisano M, Poiasina E, Nita G, Catena F, Ansaloni L (2015) One year experience of swine dermal non-crosslinked collagen prostheses for abdominal wall repairs in elective and emergency surgery. World J Emerg Surg 10:28PubMedPubMedCentral

25.

Kääriäinen M, Kuuskeri M, Helminen M, Kuokkanen H (2017) Greater success of primary fascial closure of the open abdomen: a retrospective study analyzing applied surgical techniques, success of fascial closure, and variables affecting the results. Scand J Surg 106(2):145–151PubMed

26.

Becker HP, Willms A, Schwab R (2007) Small bowel fistulas and the open abdomen. Scand J Surg 96(4):263–271PubMed

27.

Boele van Hensbroek P, Wind J, Dijkgraaf MG, Busch OR, Goslings JC (2009) Temporary closure of the open abdomen: a systematic review on delayed primary fascial closure in patients with an open abdomen. World J Surg 33(2):199–207

28.

Sriussadaporn S, Sriussadaporn S, Pak-Art R, Kritayakirana K, Prichayudh S, Samorn P (2013) Management of difficult abdominal wall problems by components separation methods: a preliminary study in Thailand. J Med Assoc Thai 96(11):1449–1462PubMed

29.

Rasilainen SK, Mentula PJ, Leppäniemi AK (2016) Components separation technique is feasible for assisting delayed primary fascial closure of open abdomen. Scand J Surg 105(1):17–21PubMed

30.

Kushimoto S, Yamamoto Y, Aiboshi J, Ogawa F, Koido Y, Yoshida R, Kawai M (2007) Usefulness of the bilateral anterior rectus abdominis sheath turnover flap method for early fascial closure in patients requiring open abdominal management. World J Surg 31(1):2–8 (discussion 9–10)PubMed

31.

Gutarra F, Asensio JR, Kohan G, Quarin C, Petrelli L, Quesada BM (2009) Closure of a contained open abdomen using a bipedicled myofascial oblique rectus abdominis flap technique. J Plast Reconstr Aesthet Surg 62(11):1490–1496PubMed

32.

Brock NB, Barker DE, Burns RP (1995) Temporary closure of open abdominal wounds: the vacuum pack. Am Surg 61(1):30–35PubMed

33.

Smith LA, Barker DE, Chase CW, Somberg LB, Brock WB, Burns RP (1997) Vacuum pack technique of temporary abdominal closure: a four-year experience. Am Surg 63(12):1102–1107 (discussion 1107–1108) PubMed

34.

Barker DE, Kaufman HJ, Smith LA, Ciraulo DL, Richart CL, Burns RP (2000) Vacuum pack technique of temporary abdominal closure: a 7-year experience with 112 patients. J Trauma 48(2):201–206; discussion 206–207PubMed

35.

Bosscha K, Hulstaert PF, Visser MR, van Vroonhoven TJ, van der Werken C (2000) Open management of the abdomen and planned reoperations in severe bacterial peritonitis. Eur J Surg 166(1):44–49PubMed

36.

Navsaria PH, Bunting M, Omoshoro-Jones J, Nicol AJ, Kahn D (2003) Temporary closure of open abdominal wounds by the modified sandwich-vacuum pack technique. Br J Surg 90(6):718–722PubMed

37.

Miller PR, Meredith JW, Johnson JC, Chang MC (2004) Prospective evaluation of vacuum-assisted fascial closure after open abdomen: planned ventral hernia rate is substantially reduced. Ann Surg 239(5):608–614 (discussion 614–616)PubMedPubMedCentral

38.

Tsuei BJ, Skinner JC, Bernard AC, Kearney PA, Boulanger BR (2004) The open peritoneal cavity: etiology correlates with the likelihood of fascial closure. Am Surg 70(7):652–656PubMed

39.

Adkins AL, Robbins J, Villalba M, Bendick P, Shanley CJ (2004) Open abdomen management of intra-abdominal sepsis. Am Surg 70(2):137–140; (discussion 140)PubMed

40.

Oetting P, Rau B, Schlag PM (2006) Abdominal vacuum device with open abdomen. Chirurg 77(7):586, 588–593PubMed

41.

Wilde JM, Loudon MA (2007) Modified Opsite sandwich for temporary abdominal closure: a non-traumatic experience. Ann R Coll Surg Engl 89(1):57–61PubMedPubMedCentral

42.

Rao M, Burke D, Finan PJ, Sagar PM (2007) The use of vacuum-assisted closure of abdominal wounds: a word of caution. Colorectal Dis 9(3):266–268PubMed

43.

Perez D, Wildi S, Demartines N, Bramkamp M, Koehler C, Clavien PA (2007) Prospective evaluation of vacuum-assisted closure in abdominal compartment syndrome and severe abdominal sepsis. J Am Coll Surg 205(4):586–592PubMed

44.

Barker DE, Green JM, Maxwell RA, Smith PW, Mejia VA, Dart BW, Cofer JB, Roe SM, Burns RP (2007) Experience with vacuum-pack temporary abdominal wound closure in 258 trauma and general and vascular surgical patients. J Am Coll Surg 204(5):784–792 (discussion 792-3)PubMed

45.

Wondberg D, Larusson HJ, Metzger U, Platz A, Zingg U (2008) Treatment of the open abdomen with the commercially available vacuum-assisted closure system in patients with abdominal sepsis: low primary closure rate. World J Surg 32(12):2724–2729PubMed

46.

Ozguc H, Paksoy E, Ozturk E (2008) Temporary abdominal closure with the vacuum pack technique: a 5-year experience. Acta Chir Belg 108(4):414–419PubMed

47.

Batacchi S, Matano S, Nella A, Zagli G, Bonizzoli M, Pasquini A, Anichini V, Tucci V, Manca G, Ban K, Valeri A, Peris A (2009) Vacuum-assisted closure device enhances recovery of critically ill patients following emergency surgical procedures. Crit Care 13(6):R194PubMedPubMedCentral

48.

Subramonia S, Pankhurst S, Rowlands BJ, Lobo DN (2009) Vacuum-assisted closure of postoperative abdominal wounds: a prospective study. World J Surg 33(5):931–937PubMed

49.

Horwood J, Akbar F, Maw A (2009) Initial experience of laparostomy with immediate vacuum therapy in patients with severe peritonitis. Ann R Coll Surg Engl 91(8):681–687PubMedPubMedCentral

50.

Amin AI, Shaikh IA (2009) Topical negative pressure in managing severe peritonitis: a positive contribution? World J Gastroenterol 15(27):3394–3397PubMedPubMedCentral

51.

Shaikh IA, Ballard-Wilson A, Yalamarthi S, Amin AI (2010) Use of topical negative pressure in assisted abdominal closure does not lead to high incidence of enteric fistulae. Colorectal Dis 12(9):931–934PubMed

52.

Schmelzle M, Alldinger I, Matthaei H, Aydin F, Wallert I, Eisenberger CF, Schulte J II, Dizdar L, Topp SA, Yang Q, Knoefel WT (2010) Long-term vacuum-assisted closure in open abdomen due to secondary peritonitis: a retrospective evaluation of a selected group of patients. Dig Surg 27(4):272–278PubMed

53.

Padalino P, Dionigi G, Minoja G, Carcano G, Rovera F, Boni L, Dionigi R (2010) Fascia-to-fascia closure with abdominal topical negative pressure for severe abdominal infections: preliminary results in a department of general surgery and intensive care unit. Surg Infect (Larchmt) 11(6):523–528

54.

López-Quintero L, Evaristo-Méndez G, Fuentes-Flores F, Ventura-González F, Sepúlveda-Castro R (2010) Treatment of open abdomen in patients with abdominal sepsis using the vacuum pack system. Cir Cir 78(4):322–326PubMed

55.

Kritayakirana K, Maggio M, Brundage P, Purtill S, Staudenmayer MA, A Spain K D (2010) Outcomes and complications of open abdomen technique for managing non-trauma patients. J Emerg Trauma Shock 3(2):118–122PubMedPubMedCentral

56.

Prichayudh S, Sriussadaporn S, Samorn P, Pak-Art R, Sriussadaporn S, Kritayakirana K, Capin A (2011) Management of open abdomen with an absorbable mesh closure. Surg Today 41:72–78PubMed

57.

Fieger AJ, Schwatlo F, Mündel DF, Schenk M, Hemminger F, Kirchdorfer B, Ruppert R, Nüssler NC (2011) Abdominal vacuum therapy for the open abdomen - a retrospective analysis of 82 consecutive patients. Zentralbl Chir 136(1):56–60PubMed

58.

Caro A, Olona C, Jiménez A, Vadillo J, Feliu F, Vicente V (2011) Treatment of the open abdomen with topical negative pressure therapy: a retrospective study of 46 cases. Int Wound J 8(3):274–279PubMedPubMedCentral

59.

Pliakos I, Papavramidis TS, Michalopoulos N, Deligiannidis N, Kesisoglou I, Sapalidis K, Papavramidis S (2012) The value of vacuum-assisted closure in septic patients treated with laparostomy. Am Surg 78(9):957–961PubMed

60.

Plaudis H, Rudzats A, Melberga L, Kazaka I, Suba O, Pupelis G (2012) Abdominal negative-pressure therapy: a new method in countering abdominal compartment and peritonitis - prospective study and critical review of literature. Ann Intensive Care 2(Suppl 1):S23PubMedPubMedCentral

61.

Pérez Domínguez L, Pardellas Rivera H, Cáceres Alvarado N, López Saco A, Rivo Vázquez A, Casal Núñez E (2012) Vacuum assisted closure in open abdomen and deferred closure: experience in 23 patients. Cir Esp 90(8):506–512PubMed

62.

Zielinski MD, Goussous N, Schiller HJ, Jenkins D (2013) Chemical components separation with botulinum toxin A: a novel technique to improve primary fascial closure rates of the open abdomen. Hernia 17(1):101–107PubMed

63.

Richter S, Dold S, Doberauer JP, Mai P, Schuld J (2013) Negative pressure wound therapy for the treatment of the open abdomen and incidence of enteral fistulas: a retrospective bicentre analysis. Gastroenterol Res Pract 2013:730829PubMedPubMedCentral

64.

Khan A, Hsee L, Mathur S, Civil I (2013) Damage-control laparotomy in nontrauma patients: review of indications and outcomes. J Trauma Acute Care Surg 75(3):365–368PubMed

65.

Carlson GL, Patrick H, Amin AI, McPherson G, MacLennan G, Afolabi E, Mowatt G, Campbell B (2013) Management of the open abdomen: a national study of clinical outcome and safety of negative pressure wound therapy. Ann Surg 257(6):1154–1159PubMed

66.

Cheatham ML, Demetriades D, Fabian TC, Kaplan MJ, Miles WS, Schreiber MA, Holcomb JB, Bochicchio G, Sarani B, Rotondo MF (2013) Prospective study examining clinical outcomes associated with a negative pressure wound therapy system and Barker’s vacuum packing technique. World J Surg 37(9):2018–2030PubMedPubMedCentral

67.

Bertelsen CA, Fabricius R, Kleif J, Kristensen B, Gögenur I (2014) Outcome of negative-pressure wound therapy for open abdomen treatment after nontraumatic lower gastrointestinal surgery: analysis of factors affecting delayed fascial closure in 101 patients. World J Surg 38(4):774–781PubMed

68.

Pliakos I, Michalopoulos N, Papavramidis TS, Arampatzi S, Diza-Mataftsi E, Papavramidis S (2014) The effect of vacuum-assisted closure in bacterial clearance of the infected abdomen. Surg Infect (Larchmt) 15(1):18–23

69.

Szmyt K, Łukasz K, Bobkiewicz A, Cybułka B, Ledwosiński W, Gordon M, Alammari A, Banasiewicz T, Drews M (2015) Comparison of the effectiveness of the treatment using standard methods and negative pressure wound therapy (NPWT) in patients treated with open abdomen technique. Pol Przegl Chir 87(1):22–30PubMed

70.

Mutafchiyski VM, Popivanov GI, Kjossev KT, Chipeva S (2016) Open abdomen and VAC® in severe diffuse peritonitis. J R Army Med Corps 162(1):30–34PubMed

71.

Kirkpatrick AW, Roberts DJ, Faris PD, Ball CG, Kubes P, Tiruta C, Xiao Z, Holodinsky JK, McBeth PB, Doig CJ, Jenne CN (2015) Active negative pressure peritoneal therapy after abbreviated laparotomy: the intraperitoneal vacuum randomized controlled trial. Ann Surg 262(1):38–46PubMed

72.

Schein M (1991) Planned reoperations and open management in critical intra-abdominal infections: prospective experience in 52 cases. World J Surg 15(4):537–545PubMed

73.

Losanoff JE, Kjossev KT (1997) Mesh-foil laparostomy. J Am Coll Surg 185(1):89–92PubMed

74.

Gentile AT, Feliciano PD, Mullins RJ, Crass RA, Eidemiller LR, Sheppard BC (1998) The utility of polyglycolic acid mesh for abdominal access in patients with necrotizing pancreatitis. J Am Coll Surg 186(3):313–318PubMed

75.

Töns C, Schachtrupp A, Rau M, Mumme T, Schumpelick V (2000) Abdominal compartment syndrome: prevention and treatment. Chirurg 71(8):918–926PubMed

76.

Sökmen S, Atila K, Bora S, Astarcioğlu H, Coker A, Füzün M (2002) Evaluation of prosthetic mesh closure in semiopen-abdomen patients. Hernia 6(3):124–129PubMed

77.

Guy JS, Miller R, Morris JA Jr, Diaz J, May A (2003) Early one-stage closure in patients with abdominal compartment syndrome: fascial replacement with human acellular dermis and bipedicle flaps. Am Surg 69(12):1025–1028; (discussion 1028-9)PubMed

78.

Mayberry JC, Burgess EA, Goldman RK, Pearson TE, Brand D, Mullins RJ (2004) Enterocutaneous fistula and ventral hernia after absorbable mesh prosthesis closure for trauma: the plain truth. J Trauma 57(1):157–162 (discussion 163-3)PubMed

79.

García Iñiguez JA, Orozco CF, Muciño Hernández MI, Ortega AL, Trabaldo SS, Cortés Flores AO, Hermosillo Sandoval JM, Ojeda AG (2004) Complications of the management of secondary peritonitis with contained-open abdomen. Comparison of the Bogota’s bag vs polypropylene mesh. Rev Gastroenterol Mex 69(3):147–155PubMed

80.

Robledo FA, Luque-de-León E, Suárez R, Sánchez P, de-la-Fuente M, Vargas A, Mier J (2007) Open versus closed management of the abdomen in the surgical treatment of severe secondary peritonitis: a randomized clinical trial. Surg Infect (Larchmt) 8(1):63–72

81.

de Moya MA, Dunham M, Inaba K, Bahouth H, Alam HB, Sultan B, Namias N (2008) Long-term outcome of acellular dermal matrix when used for large traumatic open abdomen. J Trauma 65(2):349–353PubMed

82.

Doyon A, Devroede G, Viens D, Saito S, Rioux A, Echavé V, Sauvé M, Martin M, Poisson J (2001) A simple, inexpensive, life-saving way to perform iterative laparotomy in patients with severe intra-abdominal sepsis. Colorectal Dis 3(2):115–121PubMed

83.

Martínez-Ordaz JL, Cruz-Olivo PA, Chacón-Moya E, de la Fuente-Lira M, Chavelas-Lluck M, Blanco-Benavides R (2004) Management of the abdominal wall in sepsis. Comparison of two techniques. Rev Gastroenterol Mex 69(2):88–93PubMed

84.

Kirshtein B, Roy-Shapira A, Lantsberg L, Mizrahi S (2007) Use of the “Bogota bag” for temporary abdominal closure in patients with secondary peritonitis. Am Surg 73(3):249–252PubMed

85.

Gönüllü D, Köksoy FN, Demiray O, Ozkan SG, Yücel T, Yücel O (2009) Laparostomy in patients with severe secondary peritonitis. Ulus Travma Acil Cerrahi Derg 15(1):52–57PubMed

86.

Manterola C, Moraga J, Urrutia S (2011) Contained laparostomy with a Bogota bag. Results of case series. Cir Esp 89(6):379–385PubMed

87.

Maddah G, Shabahang H, Abdollahi A, Zehi V, Abdollahi M (2014) Temporary abdominal closure in the critically ill patients with an open abdomen. Acta Med Iran 52(5):375–380PubMed

88.

Karakose O, Fatih Benzin M, Pülat H, Zafer Sabuncuoglu M, Eken H, Zihni I, Barut I (2016) Bogota bag use in planned re-laparotomies. Med Sci Monit 22:2900–2904PubMedPubMedCentral

89.

Muhammad Y, Gondal KM, Khan UA (2016) Use of the"bogota bag"for closure of open abdominal wound after exploratory laparotomy—our experience at Mayo Hospital Lahore. J Pak Med Assoc 66(8):980–983PubMed

90.

Correa JC, Mejía DA, Duque N, Uribe JMM CM (2016) Managing the open abdomen: negative pressure closure versus mesh-mediated fascial traction closure: a randomized trial. Hernia 20(2):221–229PubMed

91.

Long KL, Hamilton DA, Davenport DL, Bernard AC, Kearney PA, Chang PK (2014) A prospective, controlled evaluation of the abdominal reapproximation anchor abdominal wall closure system in combination with VAC therapy compared with VAC alone in the management of an open abdomen. Am Surg 80(6):567–571PubMed

92.

Pliakos I, Papavramidis TS, Mihalopoulos N, Koulouris H, Kesisoglou I, Sapalidis K, Deligiannidis N, Papavramidis S (2010) Vacuum-assisted closure in severe abdominal sepsis with or without retention sutured sequential fascial closure: a clinical trial. Surgery 148(5):947–953PubMed

93.

Bee TK, Croce MA, Magnotti LJ, Zarzaur BL, Maish GO 3rd, Minard G, Schroeppel TJ, Fabian TC (2008) Temporary abdominal closure techniques: a prospective randomized trial comparing polyglactin 910 mesh and vacuum-assisted closure. J Trauma 65(2):337–342 (discussion 342–344)PubMed

94.

Okullo A, Siriwardhane M, Pang TC, Sinclair JL, Lam VW, Richardson AJ, Pleass H, Johnston E (2017) The abdominal reapproximation anchor device. Surg Innov 24(1):49–54PubMed

95.

Haddock C, Konkin DE, Blair NP (2013) Management of the open abdomen with the abdominal reapproximation anchor dynamic fascial closure system. Am J Surg 205(5):528–533 (discussion 533)PubMed

96.

Verdam FJ, Dolmans DE, Loos MJ, Raber MH, de Wit RJ, Charbon JA, Vroemen JP (2011) Delayed primary closure of the septic open abdomen with a dynamic closure system. World J Surg 35(10):2348–2355PubMedPubMedCentral

97.

Reimer MW, Yelle JD, Reitsma B, Doumit G, Allen MA, Bell MS (2008) Management of open abdominal wounds with a dynamic fascial closure system. Can J Surg 51(3):209–214PubMedPubMedCentral

98.

Weinberg JA, George RL, Griffin RL, Stewart AH, Reiff DA, Kerby JD, Melton SM, Rue LW III (2008) Closing the open abdomen: improved success with Wittmann Patch staged abdominal closure. J Trauma 65(2):345–348PubMed

99.

Keramati M, Srivastava A, Sakabu S, Rumbolo P, Smock M, Pollack J, Troop B (2008) The Wittmann Patch s a temporary abdominal closure device after decompressive celiotomy for abdominal compartment syndrome following burn. Burns 34(4):493–497PubMed

100.

Tieu BH, Cho SD, Luem N, Riha G, Mayberry J, Schreiber MA (2008) The use of the Wittmann Patch facilitates a high rate of fascial closure in severely injured trauma patients and critically ill emergency surgery patients. J Trauma 65(4):865–870PubMed

101.

Hadeed JG, Staman GW, Sariol HS, Kumar S, Ross SE (2007) Delayed primary closure in damage control laparotomy: the value of the Wittmann patch. Am Surg 73(1):10–12PubMed

102.

Cipolla J, Stawicki SP, Hoff WS, McQuay N, Hoey BA, Wainwright G, Grossman MD (2005) A proposed algorithm for managing the open abdomen. Am Surg 71(3):202–207PubMed

103.

Mukhi AN, Minor S (2014) Management of the open abdomen using combination therapy with ABRA and ABThera systems. J Can Chir 57(5):314–319

104.

Salman AE, Yetişir F, Aksoy M, Tokaç M, Yildirim MB, Kiliç M (2014) Use of dynamic wound closure system in conjunction with vacuum-assisted closure therapy in delayed closure of open abdomen. Hernia 18(1):99–104PubMed

105.

Beltzer C, Eisenächer A, Badendieck S, Doll D, Küper M, Lenz S, Krapohl BD (2016) Retrospective analysis of a VACM (vacuum-assisted closure and mesh-mediated fascial traction) treatment manual for temporary abdominal wall closure - results of 58 consecutive patients. GMS Interdiscip Plast Reconstr Surg DGPW 5:Doc19PubMedPubMedCentral

106.

Willms A, Güsgen C, Schaaf S, Bieler D, von Websky M, Schwab R (2015) Management of the open abdomen using vacuum-assisted wound closure and mesh-mediated fascial traction. Langenbecks Arch Surg 400(1):91–99PubMed

107.

De Siqueira J, Tawfiq O, Garner J (2014) Managing the open abdomen in a district general hospital. Ann R Coll Surg Engl 96(3):194–198PubMedPubMedCentral

108.

Huang Q, Zhao R, Yue C, Wang W, Zhao Y, Ren J, Li N, Li J (2014) Fluid volume overload negatively influences delayed primary facial closure in open abdomen management. J Surg Res 187(1):122–127PubMed

109.

Bjørsum-Meyer T, Skarbye M, Jensen KH (2013) Vacuum with mesh is a feasible temporary closure device after fascial dehiscence. Dan Med J 60(11):A4719PubMed

110.

Rasilainen SK, Mentula PJ, Leppäniemi AK (2012) Vacuum and mesh-mediated fascial traction for primary closure of the open abdomen in critically ill surgical patients. Br J Surg 99(12):1725–1732PubMed

111.

Kleif J, Fabricius R, Bertelsen CA, Bruun J, Gögenur I (2012) Promising results after vacuum-assisted wound closure and mesh-mediated fascial traction. Dan Med J 59(9):A4495PubMed

112.

Acosta S, Bjarnason T, Petersson U, Pålsson B, Wanhainen A, Svensson M, Djavani K, Björck M (2011) Multicentre prospective study of fascial closure rate after open abdomen with vacuum and mesh-mediated fascial traction. Br J Surg 98(5):735–743PubMed

113.

Seternes A, Myhre HO, Dahl T (2010) Early results after treatment of open abdomen after aortic surgery with mesh traction and vacuum-assisted wound closure. Eur J Vasc Endovasc Surg 40(1):60–64PubMed

114.

Petersson U, Acosta S, Björck M (2007) Vacuum-assisted wound closure and mesh-mediated fascial traction—a novel technique for late closure of the open abdomen. World J Surg 31(11):2133–2137PubMed

115.

Hougaard HT, Ellebaek M, Holst UT, Qvist N (2014) The open abdomen: temporary closure with a modified negative pressure therapy technique. Int Wound J 11(Suppl 1):13–16PubMedPubMedCentral

116.

Kafka-Ritsch R, Zitt M, Schorn N, Stroemmer S, Schneeberger S, Pratschke J, Perathoner A (2012) Open abdomen treatment with dynamic sutures and topical negative pressure resulting in a high primary fascia closure rate. World J Surg 36(8):1765–1771PubMed

117.

Burlew CC, Moore EE, Biffl WL, Bensard DD, Johnson JL, Barnett CC (2012) One hundred percent fascial approximation can be achieved in the postinjury open abdomen with a sequential closure protocol. J Trauma Acute Care Surg 72(1):235–241PubMed

118.

Koss W, Ho HC, Yu M, Edwards K, Ghows M, Tan A, Takanishi DM Jr (2009) Preventing loss of domain: a management strategy for closure of the “open abdomen” during the initial hospitalization. J Surg Educ 66(2):89–95PubMed

119.

Cothren CC, Moore EE, Johnson JL, Moore JB, Burch JM (2006) One hundred percent fascial approximation with sequential abdominal closure of the open abdomen. Am J Surg 192(2):238–242PubMed

120.

Cheesborough JE, Park E, Souza JM, Dumanian GA (2014) Staged management of the open abdomen and enteroatmospheric fistulae using split-thickness skin grafts. Am J Surg 207(4):504–511PubMed

121.

Gislason H, Viste A (1999) Closure of burst abdomen after major gastrointestinal operations—comparison of different surgical techniques and later development of incisional hernia. Eur J Surg 165:958–961PubMed

122.

van’t Riet M, De Vos Van Steenwijk PJ, Bonjer HJ, Steyerberg EW, Jeekel J (2004) Incisional hernia after repair of wound dehiscence: incidence and risk factors. Am Surg 70(4):281–286

123.

Abbott DE, Dumanian GA, Halverson AL (2007) Management of laparotomy wound dehiscence. Am Surg 73(12):1224–1227PubMed

124.

van Ramshorst GH, Eker HH, van der Voet JA, Jeekel J, Lange JF (2013) Long-term outcome study in patients with abdominal wound dehiscence: a comparative study on quality of life, body image, and incisional hernia. J Gastrointest Surg 17(8):1477–1484PubMed

125.

Israelsson LA, Millbourn D (2013) Prevention of incisional hernias how to close a midline incision. Surg Clin N Am 93:1027–1040PubMed

126.

Hoer J, Klinge U, Schachtrupp A, Töns C, Schumpelick V (2001) Influence of suture technique on laparotomy wound healing: an experimental study in the rat. Langenbecks Arch Surg 386(3):218–223PubMed

127.

Israelsson LA, Jonsson T (1993) Suture length to wound length ratio and healing of midline laparotomy incisions. Br J Surg 80(10):1284–1286PubMed

128.

Millbourn D, Cengiz Y, Israelsson LA (2009) Effect of stitch length on wound complications after closure of midline incisions: a randomized controlled trial. Arch Surg 144(11):1056–1059PubMed

129.

van’t Riet M, de Vos van Steenwijk PJ, Bonjer HJ, Steyerberg EW, Jeekel J (2007) Mesh repair for postoperative wound dehiscence in the presence of infection: is absorbable mesh safer than non-absorbable mesh ? Hernia 11(5):409–413

130.

Scholtes M, Kurmann A, Seiler CA, Candinas D, Beldi G (2012) Intraperitoneal mesh implantation for fascial dehiscence and open abdomen. World J Surg 36(7):1557–1561PubMed

131.

Petersson P, Montgomery A, Petersson U (2014) Wound dehiscence: outcome comparison for sutured and mesh reconstructed patients. Hernia 18(5):681–689PubMed

132.

López-Cano M, Pereira JA, Feliu X, Hernández L, Andrada D, Gil E, Villanueva B, Armengol-Carrasco M (2015) Outcome of the use of a synthetic mesh in the repair of burst abdomen as compared with simple Suture. Int J Clin Med 6:113–118

133.

Grace RH, Cox S (1976) Incidence of incisional hernia after dehiscence of the abdominal wound. Am J Surg 131:210–212PubMed

134.

Graham DJ, Stevenson JT, McHenry CR (1998) The association of intra-abdominal infection and abdominal wound dehiscence. Am Surg 64:660–665PubMed

135.

Emad Esmat M (2006) A new technique in closure of burst abdomen: TI, TIE and TIES incisions. World J Surg 30(6):1063–1073PubMed

136.

Heller L, Levin SL, Butler CE (2006) Management of abdominal wound dehiscence using vacuum assisted closure in patients with compromised healing. Am J Surg 191(2):165–172PubMed

137.

McNeeley SG Jr, Hendrix SL, Bennett SM, Singh A, Ransom SB, Kmak DC, Morley GW (1998) Synthetic graft placement in the treatment of fascial dehiscence with necrosis and infection. Am J Obstet Gynecol 179(6 Pt 1):1430–1434 (discussion 1434-5)PubMed

138.

Atema JJ, Gans SL, Boermeester MA (2015) Systematic review and meta-analysis of the open abdomen and temporary abdominal closure techniques in non-trauma patients. World J Surg 39(4):912–925PubMed

Titel: EHS clinical guidelines on the management of the abdominal wall in the context of the open or burst abdomen
verfasst von: M. López-Cano
J. M. García-Alamino
S. A. Antoniou
D. Bennet
U. A. Dietz
F. Ferreira
R. H. Fortelny
P. Hernandez-Granados
M. Miserez
A. Montgomery
S. Morales-Conde
F. Muysoms
J. A. Pereira
R. Schwab
N. Slater
A. Vanlander
G. H. Van Ramshorst
F. Berrevoet
Publikationsdatum: 03.09.2018
Verlag: Springer Paris
Erschienen in: Hernia / Ausgabe 6/2018
Print ISSN: 1265-4906
Elektronische ISSN: 1248-9204
DOI: https://doi.org/10.1007/s10029-018-1818-9

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