Negative pressure wound therapy management of the "open abdomen" following trauma: a prospective study and systematic review

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dc.contributor.authorNavsaria, Pradeepen_ZA
dc.contributor.authorNicol, Andrewen_ZA
dc.contributor.authorHudson, Donalden_ZA
dc.contributor.authorCockwill, Johnen_ZA
dc.contributor.authorSmith, Jenniferen_ZA
dc.date.accessioned2015-11-23T12:10:44Z
dc.date.available2015-11-23T12:10:44Z
dc.date.issued2013en_ZA
dc.description.abstractINTRODUCTION: The use of Negative Pressure Wound Therapy (NPWT) for temporary abdominal closure of open abdomen (OA) wounds is widely accepted. Published outcomes vary according to the specific nature and the aetiology that resulted in an OA. The aim of this study was to evaluate the effectiveness of a new NPWT system specifically used OA resulting from abdominal trauma. METHODS: A prospective study on trauma patients requiring temporary abdominal closure (TAC) with grade 1or 2 OA was carried out. All patients were treated with NPWT (RENASYS AB Smith & Nephew) to achieve TAC. The primary outcome measure was time taken to achieve fascial closure and secondary outcomes were complications and mortality. RESULTS: A total of 20 patients were included. Thirteen patients (65%) achieved fascial closure following a median treatment period of 3 days. Four patients (20%) died of causes unrelated to NPWT. Complications included fistula formation in one patient (5%) with spontaneous resolution during NPWT), bowel necrosis in a single patient (5%) and three cases of infection (15%). No fistulae were present at the end of NPWT. CONCLUSION: This new NPWT kit is safe and effective and results in a high rate of fascial closure and low complication rates in the severely injured trauma patient.en_ZA
dc.identifier.apacitationNavsaria, P., Nicol, A., Hudson, D., Cockwill, J., & Smith, J. (2013). Negative pressure wound therapy management of the "open abdomen" following trauma: a prospective study and systematic review. <i>World Journal of Emergency Surgery</i>, http://hdl.handle.net/11427/15266en_ZA
dc.identifier.chicagocitationNavsaria, Pradeep, Andrew Nicol, Donald Hudson, John Cockwill, and Jennifer Smith "Negative pressure wound therapy management of the "open abdomen" following trauma: a prospective study and systematic review." <i>World Journal of Emergency Surgery</i> (2013) http://hdl.handle.net/11427/15266en_ZA
dc.identifier.citationNavsaria, P., Nicol, A., Hudson, D., Cockwill, J., & Smith, J. (2013). Negative pressure wound therapy management of the “open abdomen” following trauma: a prospective study and systematic review. World J Emerg Surg, 8(1), 4.en_ZA
dc.identifier.ris TY - Journal Article AU - Navsaria, Pradeep AU - Nicol, Andrew AU - Hudson, Donald AU - Cockwill, John AU - Smith, Jennifer AB - INTRODUCTION: The use of Negative Pressure Wound Therapy (NPWT) for temporary abdominal closure of open abdomen (OA) wounds is widely accepted. Published outcomes vary according to the specific nature and the aetiology that resulted in an OA. The aim of this study was to evaluate the effectiveness of a new NPWT system specifically used OA resulting from abdominal trauma. METHODS: A prospective study on trauma patients requiring temporary abdominal closure (TAC) with grade 1or 2 OA was carried out. All patients were treated with NPWT (RENASYS AB Smith & Nephew) to achieve TAC. The primary outcome measure was time taken to achieve fascial closure and secondary outcomes were complications and mortality. RESULTS: A total of 20 patients were included. Thirteen patients (65%) achieved fascial closure following a median treatment period of 3 days. Four patients (20%) died of causes unrelated to NPWT. Complications included fistula formation in one patient (5%) with spontaneous resolution during NPWT), bowel necrosis in a single patient (5%) and three cases of infection (15%). No fistulae were present at the end of NPWT. CONCLUSION: This new NPWT kit is safe and effective and results in a high rate of fascial closure and low complication rates in the severely injured trauma patient. DA - 2013 DB - OpenUCT DO - 10.1186/1749-7922-8-4 DP - University of Cape Town J1 - World Journal of Emergency Surgery LK - https://open.uct.ac.za PB - University of Cape Town PY - 2013 T1 - Negative pressure wound therapy management of the "open abdomen" following trauma: a prospective study and systematic review TI - Negative pressure wound therapy management of the "open abdomen" following trauma: a prospective study and systematic review UR - http://hdl.handle.net/11427/15266 ER - en_ZA
dc.identifier.urihttp://hdl.handle.net/11427/15266
dc.identifier.urihttp://dx.doi.org/10.1186/1749-7922-8-4
dc.identifier.vancouvercitationNavsaria P, Nicol A, Hudson D, Cockwill J, Smith J. Negative pressure wound therapy management of the "open abdomen" following trauma: a prospective study and systematic review. World Journal of Emergency Surgery. 2013; http://hdl.handle.net/11427/15266.en_ZA
dc.language.isoengen_ZA
dc.publisherBioMed Central Ltden_ZA
dc.publisher.departmentDepartment of Surgeryen_ZA
dc.publisher.facultyFaculty of Health Sciencesen_ZA
dc.publisher.institutionUniversity of Cape Town
dc.rightsThis is an Open Access article distributed under the terms of the Creative Commons Attribution Licenseen_ZA
dc.rights.holder2013 Navsaria et al.; licensee BioMed Central Ltd.en_ZA
dc.rights.urihttp://creativecommons.org/licenses/by/2.0en_ZA
dc.sourceWorld Journal of Emergency Surgeryen_ZA
dc.source.urihttp://www.wjes.org/en_ZA
dc.subject.otherNegative Pressure Wound Therapy (NPWT)en_ZA
dc.subject.otherGrade 1 and 2 open abdomenen_ZA
dc.subject.otherAbdominal traumaen_ZA
dc.subject.otherFascial closureen_ZA
dc.titleNegative pressure wound therapy management of the "open abdomen" following trauma: a prospective study and systematic reviewen_ZA
dc.typeJournal Articleen_ZA
uct.type.filetypeText
uct.type.filetypeImage
uct.type.publicationResearchen_ZA
uct.type.resourceArticleen_ZA
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