Effects of Time to Application of Negative Pressure Therapy on Abdominal Infections After Colonic Perforation.
Journal
Surgical technology international
ISSN: 1090-3941
Titre abrégé: Surg Technol Int
Pays: United States
ID NLM: 9604509
Informations de publication
Date de publication:
15 May 2019
15 May 2019
Historique:
pubmed:
20
3
2019
medline:
4
9
2019
entrez:
20
3
2019
Statut:
ppublish
Résumé
Negative pressure therapy (NPT) seems to improve surgical outcomes in open abdomen (OA) management of severe intra-abdominal infections (IAIs). The aim of this study was to compare the effects of immediate vs. delayed application of NPT on outcomes in patients with IAIs after colonic perforation. We analysed 38 patients who received NPT during OA management for IAI after colonic perforation. The endpoints were treatment duration, definitive fascial closure and in-hospital mortality. We subdivided patients according to the timing of NPT application: immediate (at the end of the first OA procedure) and delayed (at I-II revision, at III revision, and after III revision). NPT was applied immediately in 15 cases (39.5%) and was delayed in 23 (60.5%): 14 (36.8%) at I-II revision, 7 (18.4%) at III revision, and 2 (5.3%) after III revision. Immediate NPT application was associated with the best outcomes. NPT should be used as soon as possible in OA management for IAIs due to colonic perforation.
Sections du résumé
BACKGROUND
BACKGROUND
Negative pressure therapy (NPT) seems to improve surgical outcomes in open abdomen (OA) management of severe intra-abdominal infections (IAIs). The aim of this study was to compare the effects of immediate vs. delayed application of NPT on outcomes in patients with IAIs after colonic perforation.
MATERIALS AND METHODS
METHODS
We analysed 38 patients who received NPT during OA management for IAI after colonic perforation. The endpoints were treatment duration, definitive fascial closure and in-hospital mortality. We subdivided patients according to the timing of NPT application: immediate (at the end of the first OA procedure) and delayed (at I-II revision, at III revision, and after III revision).
RESULTS
RESULTS
NPT was applied immediately in 15 cases (39.5%) and was delayed in 23 (60.5%): 14 (36.8%) at I-II revision, 7 (18.4%) at III revision, and 2 (5.3%) after III revision. Immediate NPT application was associated with the best outcomes.
CONCLUSIONS
CONCLUSIONS
NPT should be used as soon as possible in OA management for IAIs due to colonic perforation.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM