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Vacuum-assisted close versus conventional treatment for postlaparotomy wound dehiscence
Annals of Surgical Treatment and Research ; : 260-264, 2014.
Article Dans Anglais | WPRIM | ID: wpr-17867
ABSTRACT

PURPOSE:

The conventional treatment for postlaparotomy wound dehiscence usually involves surgical revision. Recently, vacuum-assisted closure has been successfully used in postlaparotomy wound dehiscence. The aim of the present study was to compare the clinical outcome of 207 patients undergoing vacuum-assisted closure therapy or conventional treatment for postlaparotomy wound dehiscence.

METHODS:

Two hundred and seven consecutive patients underwent treatment for postlaparotomy wound dehiscence vacuum-assisted closure therapy (January 2007 through August 2012, n = 25) or conventional treatment (January 2001 through August 2012, n = 182).

RESULTS:

The failure rate to first-line treatment with vacuum-assisted closure and conventional treatment were 0% and 14.3%, respectively (P = 0.002). There was no statistically significant difference in the enterocutaneous fistulas and hospital stay after vacuum-assisted closure therapy or conventional treatment respectively.

CONCLUSION:

Our findings support that vacuum-assisted closure therapy is a safe and reliable option in postlaparotomy wound dehiscence with very low failure rate in surgical revision compared with conventional treatment.
Sujets)

Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Réintervention / Plaies et blessures / Fistule intestinale / Traitement des plaies par pression négative / Durée du séjour Limites du sujet: Humains langue: Anglais Texte intégral: Annals of Surgical Treatment and Research Année: 2014 Type: Article

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Texte intégral: Disponible Indice: WPRIM (Pacifique occidental) Sujet Principal: Réintervention / Plaies et blessures / Fistule intestinale / Traitement des plaies par pression négative / Durée du séjour Limites du sujet: Humains langue: Anglais Texte intégral: Annals of Surgical Treatment and Research Année: 2014 Type: Article