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

Introduction: The optimal treatment concept for temporary abdominal closure (TAC) in critically ill visceral surgery patients with open abdomen (OA) continues to be unclear. The VACM (vacuum-assisted closure and mesh-mediated fascial traction) therapy seems to permit higher delayed primary fascial c...
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Gespeichert in:

Autor*in:	Beltzer, Christian [verfasserIn] Eisenächer, Alexander [verfasserIn] Badendieck, Steffen [verfasserIn] Doll, Dietrich [verfasserIn] Küper, Markus [verfasserIn] Lenz, Stefan [verfasserIn] Krapohl, Björn Dirk [verfasserIn]

Format:	E-Artikel
Sprache:	Deutsch ; Englisch

Erschienen:	2016

Schlagwörter:	temporary abdominal closure mesh-mediated fascial traction fascial closure rate open abdomen peritonitis vacuum-assisted closure laparostoma

Übergeordnetes Werk:	In: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW - German Medical Science GMS Publishing House, 2015, 5, p Doc19(2016)
Übergeordnetes Werk:	volume:5, p Doc19 ; year:2016

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.3205/iprs000098

Katalog-ID:	DOAJ053662849

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520			\|a Introduction: The optimal treatment concept for temporary abdominal closure (TAC) in critically ill visceral surgery patients with open abdomen (OA) continues to be unclear. The VACM (vacuum-assisted closure and mesh-mediated fascial traction) therapy seems to permit higher delayed primary fascial closure rates (FCR) than other TAC procedures. Material and methods: Patients of our clinic (n=58) who were treated by application of a VAC/VACM treatment manual in the period from 2005 to 2008 were retrospectively analysed. Results: The overall FCR of all patients was 48.3% (95% confidence interval: 34.95–61.78). An FCR of 61.3% was achieved in patients who had a vicryl mesh implanted at the fascial level (VACM therapy) in the course of treatment. Mortality among patients treated with VACM therapy was 45.2% (95% CI: 27.32–63.97).Conclusions: The results of our own study confirm the results of previous studies which showed an acceptable FCR among non-trauma patients who were treated with VACM therapy. VACM therapy currently appears to be the treatment regime of choice for patients with OA requiring TAC.
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spelling	10.3205/iprs000098 doi (DE-627)DOAJ053662849 (DE-599)DOAJ595fd33f850a417aaf71be068be84f8a DE-627 ger DE-627 rakwb ger eng RD1-811 Beltzer, Christian verfasserin aut 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 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The optimal treatment concept for temporary abdominal closure (TAC) in critically ill visceral surgery patients with open abdomen (OA) continues to be unclear. The VACM (vacuum-assisted closure and mesh-mediated fascial traction) therapy seems to permit higher delayed primary fascial closure rates (FCR) than other TAC procedures. Material and methods: Patients of our clinic (n=58) who were treated by application of a VAC/VACM treatment manual in the period from 2005 to 2008 were retrospectively analysed. Results: The overall FCR of all patients was 48.3% (95% confidence interval: 34.95–61.78). An FCR of 61.3% was achieved in patients who had a vicryl mesh implanted at the fascial level (VACM therapy) in the course of treatment. Mortality among patients treated with VACM therapy was 45.2% (95% CI: 27.32–63.97).Conclusions: The results of our own study confirm the results of previous studies which showed an acceptable FCR among non-trauma patients who were treated with VACM therapy. VACM therapy currently appears to be the treatment regime of choice for patients with OA requiring TAC. temporary abdominal closure mesh-mediated fascial traction fascial closure rate open abdomen peritonitis vacuum-assisted closure laparostoma Surgery Eisenächer, Alexander verfasserin aut Badendieck, Steffen verfasserin aut Doll, Dietrich verfasserin aut Küper, Markus verfasserin aut Lenz, Stefan verfasserin aut Krapohl, Björn Dirk verfasserin aut In GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW German Medical Science GMS Publishing House, 2015 5, p Doc19(2016) (DE-627)683363603 (DE-600)2645026-4 21938091 nnns volume:5, p Doc19 year:2016 https://doi.org/10.3205/iprs000098 kostenfrei https://doaj.org/article/595fd33f850a417aaf71be068be84f8a kostenfrei http://www.egms.de/static/en/journals/iprs/2016-5/iprs000098.shtml kostenfrei https://doaj.org/toc/2193-8091 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5, p Doc19 2016
allfields_unstemmed	10.3205/iprs000098 doi (DE-627)DOAJ053662849 (DE-599)DOAJ595fd33f850a417aaf71be068be84f8a DE-627 ger DE-627 rakwb ger eng RD1-811 Beltzer, Christian verfasserin aut 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 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The optimal treatment concept for temporary abdominal closure (TAC) in critically ill visceral surgery patients with open abdomen (OA) continues to be unclear. The VACM (vacuum-assisted closure and mesh-mediated fascial traction) therapy seems to permit higher delayed primary fascial closure rates (FCR) than other TAC procedures. Material and methods: Patients of our clinic (n=58) who were treated by application of a VAC/VACM treatment manual in the period from 2005 to 2008 were retrospectively analysed. Results: The overall FCR of all patients was 48.3% (95% confidence interval: 34.95–61.78). An FCR of 61.3% was achieved in patients who had a vicryl mesh implanted at the fascial level (VACM therapy) in the course of treatment. Mortality among patients treated with VACM therapy was 45.2% (95% CI: 27.32–63.97).Conclusions: The results of our own study confirm the results of previous studies which showed an acceptable FCR among non-trauma patients who were treated with VACM therapy. VACM therapy currently appears to be the treatment regime of choice for patients with OA requiring TAC. temporary abdominal closure mesh-mediated fascial traction fascial closure rate open abdomen peritonitis vacuum-assisted closure laparostoma Surgery Eisenächer, Alexander verfasserin aut Badendieck, Steffen verfasserin aut Doll, Dietrich verfasserin aut Küper, Markus verfasserin aut Lenz, Stefan verfasserin aut Krapohl, Björn Dirk verfasserin aut In GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW German Medical Science GMS Publishing House, 2015 5, p Doc19(2016) (DE-627)683363603 (DE-600)2645026-4 21938091 nnns volume:5, p Doc19 year:2016 https://doi.org/10.3205/iprs000098 kostenfrei https://doaj.org/article/595fd33f850a417aaf71be068be84f8a kostenfrei http://www.egms.de/static/en/journals/iprs/2016-5/iprs000098.shtml kostenfrei https://doaj.org/toc/2193-8091 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5, p Doc19 2016
allfieldsGer	10.3205/iprs000098 doi (DE-627)DOAJ053662849 (DE-599)DOAJ595fd33f850a417aaf71be068be84f8a DE-627 ger DE-627 rakwb ger eng RD1-811 Beltzer, Christian verfasserin aut 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 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The optimal treatment concept for temporary abdominal closure (TAC) in critically ill visceral surgery patients with open abdomen (OA) continues to be unclear. The VACM (vacuum-assisted closure and mesh-mediated fascial traction) therapy seems to permit higher delayed primary fascial closure rates (FCR) than other TAC procedures. Material and methods: Patients of our clinic (n=58) who were treated by application of a VAC/VACM treatment manual in the period from 2005 to 2008 were retrospectively analysed. Results: The overall FCR of all patients was 48.3% (95% confidence interval: 34.95–61.78). An FCR of 61.3% was achieved in patients who had a vicryl mesh implanted at the fascial level (VACM therapy) in the course of treatment. Mortality among patients treated with VACM therapy was 45.2% (95% CI: 27.32–63.97).Conclusions: The results of our own study confirm the results of previous studies which showed an acceptable FCR among non-trauma patients who were treated with VACM therapy. VACM therapy currently appears to be the treatment regime of choice for patients with OA requiring TAC. temporary abdominal closure mesh-mediated fascial traction fascial closure rate open abdomen peritonitis vacuum-assisted closure laparostoma Surgery Eisenächer, Alexander verfasserin aut Badendieck, Steffen verfasserin aut Doll, Dietrich verfasserin aut Küper, Markus verfasserin aut Lenz, Stefan verfasserin aut Krapohl, Björn Dirk verfasserin aut In GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW German Medical Science GMS Publishing House, 2015 5, p Doc19(2016) (DE-627)683363603 (DE-600)2645026-4 21938091 nnns volume:5, p Doc19 year:2016 https://doi.org/10.3205/iprs000098 kostenfrei https://doaj.org/article/595fd33f850a417aaf71be068be84f8a kostenfrei http://www.egms.de/static/en/journals/iprs/2016-5/iprs000098.shtml kostenfrei https://doaj.org/toc/2193-8091 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5, p Doc19 2016
allfieldsSound	10.3205/iprs000098 doi (DE-627)DOAJ053662849 (DE-599)DOAJ595fd33f850a417aaf71be068be84f8a DE-627 ger DE-627 rakwb ger eng RD1-811 Beltzer, Christian verfasserin aut 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 2016 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Introduction: The optimal treatment concept for temporary abdominal closure (TAC) in critically ill visceral surgery patients with open abdomen (OA) continues to be unclear. The VACM (vacuum-assisted closure and mesh-mediated fascial traction) therapy seems to permit higher delayed primary fascial closure rates (FCR) than other TAC procedures. Material and methods: Patients of our clinic (n=58) who were treated by application of a VAC/VACM treatment manual in the period from 2005 to 2008 were retrospectively analysed. Results: The overall FCR of all patients was 48.3% (95% confidence interval: 34.95–61.78). An FCR of 61.3% was achieved in patients who had a vicryl mesh implanted at the fascial level (VACM therapy) in the course of treatment. Mortality among patients treated with VACM therapy was 45.2% (95% CI: 27.32–63.97).Conclusions: The results of our own study confirm the results of previous studies which showed an acceptable FCR among non-trauma patients who were treated with VACM therapy. VACM therapy currently appears to be the treatment regime of choice for patients with OA requiring TAC. temporary abdominal closure mesh-mediated fascial traction fascial closure rate open abdomen peritonitis vacuum-assisted closure laparostoma Surgery Eisenächer, Alexander verfasserin aut Badendieck, Steffen verfasserin aut Doll, Dietrich verfasserin aut Küper, Markus verfasserin aut Lenz, Stefan verfasserin aut Krapohl, Björn Dirk verfasserin aut In GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW German Medical Science GMS Publishing House, 2015 5, p Doc19(2016) (DE-627)683363603 (DE-600)2645026-4 21938091 nnns volume:5, p Doc19 year:2016 https://doi.org/10.3205/iprs000098 kostenfrei https://doaj.org/article/595fd33f850a417aaf71be068be84f8a kostenfrei http://www.egms.de/static/en/journals/iprs/2016-5/iprs000098.shtml kostenfrei https://doaj.org/toc/2193-8091 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 5, p Doc19 2016
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authorswithroles_txt_mv	Beltzer, Christian @@aut@@ Eisenächer, Alexander @@aut@@ Badendieck, Steffen @@aut@@ Doll, Dietrich @@aut@@ Küper, Markus @@aut@@ Lenz, Stefan @@aut@@ Krapohl, Björn Dirk @@aut@@
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callnumber-first	R - Medicine
author	Beltzer, Christian
spellingShingle	Beltzer, Christian misc RD1-811 misc temporary abdominal closure misc mesh-mediated fascial traction misc fascial closure rate misc open abdomen misc peritonitis misc vacuum-assisted closure misc laparostoma misc Surgery 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
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topic_title	RD1-811 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 temporary abdominal closure mesh-mediated fascial traction fascial closure rate open abdomen peritonitis vacuum-assisted closure laparostoma
topic	misc RD1-811 misc temporary abdominal closure misc mesh-mediated fascial traction misc fascial closure rate misc open abdomen misc peritonitis misc vacuum-assisted closure misc laparostoma misc Surgery
topic_unstemmed	misc RD1-811 misc temporary abdominal closure misc mesh-mediated fascial traction misc fascial closure rate misc open abdomen misc peritonitis misc vacuum-assisted closure misc laparostoma misc Surgery
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title	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
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title_full	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
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title_sort	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
callnumber	RD1-811
title_auth	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
abstract	Introduction: The optimal treatment concept for temporary abdominal closure (TAC) in critically ill visceral surgery patients with open abdomen (OA) continues to be unclear. The VACM (vacuum-assisted closure and mesh-mediated fascial traction) therapy seems to permit higher delayed primary fascial closure rates (FCR) than other TAC procedures. Material and methods: Patients of our clinic (n=58) who were treated by application of a VAC/VACM treatment manual in the period from 2005 to 2008 were retrospectively analysed. Results: The overall FCR of all patients was 48.3% (95% confidence interval: 34.95–61.78). An FCR of 61.3% was achieved in patients who had a vicryl mesh implanted at the fascial level (VACM therapy) in the course of treatment. Mortality among patients treated with VACM therapy was 45.2% (95% CI: 27.32–63.97).Conclusions: The results of our own study confirm the results of previous studies which showed an acceptable FCR among non-trauma patients who were treated with VACM therapy. VACM therapy currently appears to be the treatment regime of choice for patients with OA requiring TAC.
abstractGer	Introduction: The optimal treatment concept for temporary abdominal closure (TAC) in critically ill visceral surgery patients with open abdomen (OA) continues to be unclear. The VACM (vacuum-assisted closure and mesh-mediated fascial traction) therapy seems to permit higher delayed primary fascial closure rates (FCR) than other TAC procedures. Material and methods: Patients of our clinic (n=58) who were treated by application of a VAC/VACM treatment manual in the period from 2005 to 2008 were retrospectively analysed. Results: The overall FCR of all patients was 48.3% (95% confidence interval: 34.95–61.78). An FCR of 61.3% was achieved in patients who had a vicryl mesh implanted at the fascial level (VACM therapy) in the course of treatment. Mortality among patients treated with VACM therapy was 45.2% (95% CI: 27.32–63.97).Conclusions: The results of our own study confirm the results of previous studies which showed an acceptable FCR among non-trauma patients who were treated with VACM therapy. VACM therapy currently appears to be the treatment regime of choice for patients with OA requiring TAC.
abstract_unstemmed	Introduction: The optimal treatment concept for temporary abdominal closure (TAC) in critically ill visceral surgery patients with open abdomen (OA) continues to be unclear. The VACM (vacuum-assisted closure and mesh-mediated fascial traction) therapy seems to permit higher delayed primary fascial closure rates (FCR) than other TAC procedures. Material and methods: Patients of our clinic (n=58) who were treated by application of a VAC/VACM treatment manual in the period from 2005 to 2008 were retrospectively analysed. Results: The overall FCR of all patients was 48.3% (95% confidence interval: 34.95–61.78). An FCR of 61.3% was achieved in patients who had a vicryl mesh implanted at the fascial level (VACM therapy) in the course of treatment. Mortality among patients treated with VACM therapy was 45.2% (95% CI: 27.32–63.97).Conclusions: The results of our own study confirm the results of previous studies which showed an acceptable FCR among non-trauma patients who were treated with VACM therapy. VACM therapy currently appears to be the treatment regime of choice for patients with OA requiring TAC.
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title_short	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
url	https://doi.org/10.3205/iprs000098 https://doaj.org/article/595fd33f850a417aaf71be068be84f8a http://www.egms.de/static/en/journals/iprs/2016-5/iprs000098.shtml https://doaj.org/toc/2193-8091
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author2	Eisenächer, Alexander Badendieck, Steffen Doll, Dietrich Küper, Markus Lenz, Stefan Krapohl, Björn Dirk
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up_date	2024-07-03T18:53:40.303Z
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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

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