ABSTRACT
INTRODUCTION: Vacuum-assisted closure (VAC) is a promising approach for the management of complex abdominal and perineal wounds. This paper summarizes our experience with this therapeutic modality and demonstrates its efficacity in difficult situations. PATIENTS AND METHODS: From January 2003 until December 2005, 48 patients (age 30-89) were treated with VAC therapy for open abdomen, infected laparotomy wounds, or tissue loss due to debridement of Fournier's gangrene. Wound dressings were changed every 2-3 days. RESULTS: Thirty-eight patients (79%) had major co-morbid conditions liable to impact negatively on wound healing. The treatment duration with VAC varied from 20-30 days with an average of eleven dressing changes (minimum 3-maximum 18). Treatment was effective in all patients. Spontaneous closure was achieved in 36 cases (75%); nine patients (19%) required a split-thickness skin graft, and three (6%) underwent delayed secondary closure. CONCLUSION: In our institution, VAC has become the treatment of choice for complex abdominal and perineal wounds. It is a safe, simple, and effective technique to speed wound healing and it has reduced the duration of hospital treatment in difficult clinical situations and in patients whose general condition is often severely compromised.
Subject(s)
Abdomen/surgery , Negative-Pressure Wound Therapy , Perineum/surgery , Adult , Aged , Aged, 80 and over , Debridement , Female , Fournier Gangrene/surgery , Humans , Male , Middle Aged , Occlusive Dressings , Perineum/injuries , Surgical Flaps , Surgical Wound Infection/surgery , Time Factors , Wound HealingABSTRACT
A case-control study evaluated the relationship between hypertension and socioeconomic and lifestyle factors in Al-Ain city. The survey included 426 hypertensive adults aged 20-65 years attending urban and semi-urban clinics and a randomly selected sample of 436 normotensive controls. Hypertension among cases was higher for men, age 40-49 years, non-UAE nationals, urban living, currently married, having children, illiterate, administrative/professional job, living in traditional house and low income. There were significant differences between cases and controls with regard to obesity, raised cholesterol level, low physical activity and family history of heart disease, kidney disease or diabetes. Multivariate logistic regression analysis revealed that obesity, medium/high income, history of diabetes, low physical activity and having 3+ children were significantly associated with hypertension.
Subject(s)
Hypertension/epidemiology , Hypertension/etiology , Life Style , Adult , Case-Control Studies , Cluster Analysis , Diabetes Complications/complications , Diet/statistics & numerical data , Exercise , Female , Health Services Needs and Demand , Humans , Hypercholesterolemia/complications , Hypertension/prevention & control , Income , Logistic Models , Male , Middle Aged , Multivariate Analysis , Obesity/complications , Risk Assessment , Risk Factors , Socioeconomic Factors , Surveys and Questionnaires , United Arab Emirates/epidemiology , Urban Health/statistics & numerical dataABSTRACT
A case-control study evaluated the relationship between hypertension and socioeconomic and lifestyle factors in Al-Ain city.The survey included 426 hypertensive adults aged 20-65 years attending urban and semi-urban clinics and a randomly selected sample of 436 normotensive controls. Hypertension among cases was higher for men, age 40-49 years, non-UAE nationals, urban living, currently married, having children, illiterate, administrative/professional job, living in traditional house and low income. There were significant differences between cases and controls with regard to obesity, raised cholesterol level, low physical activity and family history of heart disease, kidney disease or diabetes. Multivariate logistic regression analysis revealed that obesity, medium/high income, history of diabetes, low physical activity and having 3+ children were significantly associated with hypertension
