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Incisional vac

José Bueno-Lledó, Antonio Torregrosa, Raquel Jiménez, Providencia García Pastor
INTRODUCTION: Preoperative progressive pneumoperitoneum (PPP) and botulinum toxin type A (BT) are tools in the surgical preparation of patients with loss of domain hernias (LODH). The aim of this paper is to report our experience with these preoperative techniques in 70 patients with LODH. METHODS: Observational study of 70 consecutive patients with LODH was conducted between May 2010 and May 2016. Diameters of the hernia sac, incisional hernia (VIH), and abdominal cavity (VAC) volumes, and VIH/VAC ratio were measured before and after PPP and BT, using abdominal CT scan data...
February 15, 2018: Surgical Endoscopy
J Bueno-Lledó, A Torregrosa, N Ballester, O Carreño, F Carbonell, P G Pastor, J Pamies, V Cortés, S Bonafé, J Iserte
PURPOSE: Combination of preoperative progressive pneumoperitoneum (PPP) and botulinum toxin type A (BT) has not been previously reported in the management of large incisional hernia (LIH). METHODS: Observational study of 45 consecutive patients with LIH between June 2010 and July 2014. The diameters of the hernia sac, the volumes of the incisional hernia (VIH) and the abdominal cavity (VAC), and the VIH/VAC ratio were measured before and after PPP and BT using abdominal CT scan data...
April 2017: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Marcelo A F Ribeiro, Emily Alves Barros, Sabrina Marques DE Carvalho, Vinicius Pereira Nascimento, José Cruvinel, Alexandre Zanchenko Fonseca
The damage control surgery, with emphasis on laparostomy, usually results in shrinkage of the aponeurosis and loss of the ability to close the abdominal wall, leading to the formation of ventral incisional hernias. Currently, various techniques offer greater chances of closing the abdominal cavity with less tension. Thus, this study aims to evaluate three temporary closure techniques of the abdominal cavity: the Vacuum-Assisted Closure Therapy - VAC, the Bogotá Bag and the Vacuum-pack. We conducted a systematic review of the literature, selecting 28 articles published in the last 20 years...
September 2016: Revista do Colégio Brasileiro de Cirurgiões
S Acosta, M Björck, A Wanhainen
BACKGROUND: Indications for negative-pressure wound therapy (NPWT) in vascular surgical patients are expanding. The aim of this review was to outline the evidence for NPWT on open and closed wounds. METHODS: A PubMed, EMBASE and Cochrane Library search from 2007 to June 2016 was performed combining the medical subject headings terms 'wound infection', 'abdominal aortic aneurysm (AAA)', 'fasciotomy', 'vascular surgery' and 'NPWT' or 'VAC'. RESULTS: NPWT of open infected groin wounds was associated with shorter duration of wound healing by 47 days, and was more cost-effective than alginate dressings in one RCT...
January 2017: British Journal of Surgery
A Daskalaki, S Xenaki, M Venianaki, A Topalidou, E Athanasakis, E Chrysos, G Chalkiadakis
INTRODUCATION: Negative pressure wound therapy (NPWT) represents an alternative method to optimize conditions for wound healing. Delayed wound closure is a significant health problem, which is directly associated with pain and suffering from patient's aspect, as well with social and financial burden. PRESENTATION OF CASE: We report a case of vacuum-assisted wound therapy with hypertonic solution distillation and continuous negative pressure application, in an infected wound after laparotomy for incisional hernia reconstruction with mesh placement...
September 2016: Annals of Medicine and Surgery
Christian Willy, Animesh Agarwal, Charles A Andersen, Giorgio De Santis, Allen Gabriel, Onnen Grauhan, Omar M Guerra, Benjamin A Lipsky, Mahmoud B Malas, Lars L Mathiesen, Devinder P Singh, V Sreenath Reddy
Surgical site occurrences (SSOs) affect up to or over 25% of patients undergoing operative procedures, with the subset of surgical site infections (SSIs) being the most common. Commercially available closed incision negative pressure therapy (ciNPT) may offer surgeons an additional option to manage clean, closed surgical incisions. We conducted an extensive literature search for studies describing ciNPT use and assembled a diverse panel of experts to create consensus recommendations for when using ciNPT may be appropriate...
April 2017: International Wound Journal
Noah Prince, Spiros Blackburn, Gregory Murad, Bruce Mast, Stamatis Sapountzis, Christiana Shaw, John Werning, Dhruv Singhal
BACKGROUND: When composite scalp and calvarial defects with dural or cortical brain exposure are encountered, active infection or indeterminate oncologic margins complicate the timing of scalp reconstruction. The purpose of this study was to evaluate the safety and efficacy of vacuum-assisted closure (VAC) therapy as a temporizing measure in these complex scalp defects with dural or cortical brain exposure and a hostile local wound environment. METHODS: From December 2012 to December 2013, all composite scalp and calvarial defects reconstructed by the senior author (D...
June 2015: Annals of Plastic Surgery
Sara Nicodemi, Sergio Corelli, Marco Sacchi, Edoardo Ricciardi, Annarita Costantino, Pietro Di Legge, Francesco Ceci, Benedetta Cipriani, Annunziata Martellucci, Mario Santilli, Silvia Orsini, Antonella Tudisco, Franco Stagnitti
Surgical wounds dehiscence is a serious post-operatory complication, with an incidence between 0.4% and 3.5%. Mortality is more than 45%. Complex wounds treatment may require a multidisciplinary management. VAC Therapy could be an alternative treatment regarding complex wound. VAC therapy has been recently introduced on skin's graft tissue management reducing skin graft rejection. The use of biological prosthesis has been tested in a contaminated field, better than synthetic meshes, which often need to be removed...
March 2015: Annali Italiani di Chirurgia
Joan Webster, Paul Scuffham, Monica Stankiewicz, Wendy P Chaboyer
BACKGROUND: Indications for the use of negative pressure wound therapy (NPWT) are broadening with a range of systems now available on the market, including those designed for use on clean, closed incisions and skin grafts. Reviews have concluded that the evidence for the effectiveness of NPWT remains uncertain, however, it is a rapidly evolving therapy. Consequently, an updated systematic review of the evidence for the effects of NPWT on postoperative wounds expected to heal by primary intention is required...
October 7, 2014: Cochrane Database of Systematic Reviews
Kevin C Soares, Pablo A Baltodano, Caitlin W Hicks, Carisa M Cooney, Israel O Olorundare, Peter Cornell, Karen Burce, Frederic E Eckhauser
BACKGROUND: Prophylactic incisional negative-pressure wound therapy use after ventral hernia repairs (VHRs) remains controversial. We assessed the impact of a modified negative-pressure wound therapy system (hybrid-VAC or HVAC) on outcomes of open VHR. METHODS: A 5-year retrospective analysis of all VHRs performed by a single surgeon at a single institution compared outcomes after HVAC versus standard wound dressings. Multivariable logistic regression compared surgical site infections, surgical site occurrences, morbidity, and reoperation rates...
February 2015: American Journal of Surgery
M Assenza, C Reali, G Marenga, S Marchese, C Modini
Ventral incisional hernia rate is decreasing due to the introduction of new clinical and surgery method. As a result, the complex incisional hernias, are less often described and rarely treated. We describe our experience in emergency case. We present the case of permagna incisional hernia with skin necrosis, subcutaneous abscess and bowel perforation which cause a long-lasting bedding. The successful management includes an emergency surgery applying hernia reduction, bowel resection and abdominal wall reconstruction through a biological mesh and positioning of VAC System...
2014: La Clinica Terapeutica
O Guerra, M M Maclin
PURPOSE: Ventral abdominal wall hernias are common and repair is frequently associated with complications and recurrence. Although non-crosslinked intact porcine-derived acellular dermal matrix (PADM) has been used successfully in the repair of complex ventral hernias, there is currently no consensus regarding the type of mesh and surgical techniques to use in these patients. This report provides added support for PADM use in complex ventral hernias. METHODS: In a consecutive series of adult patients (2008-2011), complex ventral abdominal wall hernias (primary and incisional) were repaired with PADM by a single surgeon...
February 2014: Hernia: the Journal of Hernias and Abdominal Wall Surgery
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No abstract text is available yet for this article.
August 2013: Clinical Orthopaedics and related Research
A E Salman, F Yetişir, M Aksoy, M Tokaç, M B Yildirim, M Kiliç
AIM: Definitive abdominal closure may not be possible for several days or weeks after laparotomy in damage-control surgery, abdominal compartment syndrome and intraabdominal sepsis, until the patient has stabilized. Vacuum-assisted closure (VAC therapy(®), KCI, San Antonio, TX, USA) and abdominal re-approximation anchor system (ABRA, Canica, Almonte, Ontario, Canada) are novel techniques in delayed closure of open abdomen. Our aim is to present the use of these strategies in the management of 7 patients with open abdomen...
February 2014: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Julia Mees, Wolf Arif Mardin, Norbert Senninger, Matthias Bruewer, Daniel Palmes, Soeren Torge Mees
PURPOSE: We present our current clinical approach for the treatment of postoperatively infected wounds of the abdominal wall healing by secondary intention that may help in the design of a randomized controlled trial to develop a standardized wound treatment pathway. METHODS: Patients with postoperatively infected abdominal wounds treated with either Advanced Wound Care (AWC) dressings or vacuum-assisted closure (VAC) therapy were enrolled in the study. Follow-up was carried out prospectively for wound healing and incidence of incisional hernia at the earliest 3 years after surgery...
December 2012: Langenbeck's Archives of Surgery
C Sabbagh, F Dumont, D Fuks, T Yzet, P Verhaeghe, J-M Regimbeau
INTRODUCTION: Progressive preoperative pneumoperitoneum (PPP) is used to prepare incisional hernias with loss of domain (IHLD) operations. The aim of the present study was to analyze the effect of PPP on peritoneal volume [measured using a new computed tomography (CT)-based method] and respiratory function. METHODS: From July 2004 to July 2008, 19 patients were included in a prospective, observational study. The volumes of the incisional hernia (VIH), the abdominal cavity (VAC), the total peritoneal content (VP) and the VIH/VP ratio were measured before and after PPP using abdominal CT scan data...
February 2012: Hernia: the Journal of Hernias and Abdominal Wall Surgery
M López-Cano, M Armengol-Carrasco
INTRODUCTION: Frequent complications in incisional hernia surgery are re-herniation, wound infection and seroma formation. The use of subatmospheric pressure dressings such as the vacuum-assisted closure (VAC) device has been shown to be an effective way to accelerate healing of various wounds. Here, we describe the application of the VAC device as a postoperative dressing to prevent seroma formation after open incisional hernia repair. METHODS: Three consecutive patients (63, 65 and 60 years of age, respectively) underwent incisional hernia repair...
February 2013: Hernia: the Journal of Hernias and Abdominal Wall Surgery
G Chatzoulis, K Chatzoulis, P Spyridopoulos, P Pappas, A Ploumis
The overall reported percentage of mesh infections is 1.3%. Infections after incisional ventral hernia repair depend on many factors. Salvaging an infected mesh should be the priority, because serious complications are reported following mesh removal. In this case report, a methicillin-resistant Staphylococcus aureus (MRSA)-infected titanium mesh was salvaged by a novel technique, not requiring removal. The combination of vacuum-assisted closure (VAC™ therapy) of the wound and medical honey (L-Mesitran™) proved to be successful in leaving the mesh in situ...
August 2012: Hernia: the Journal of Hernias and Abdominal Wall Surgery
Robert N Reddix, Xiaoyan Iris' Leng, James Woodall, Benjamin Jackson, Barnaby Dedmond, Lawrence X Webb
The purpose of the study was to determine if the use of incisional negative pressure therapy affected the rate of wound complications after acetabular fracture surgery. Between August 1996 to April 2005, 301 patients were found to have had an operatively treated acetabular fracture. There were 235 patients who had placement of incisional vacuum-assisted closure (VAC) who had three (1.27%) deep wound infections and one (0.426%) wound dehiscence. There were 66 consecutive patients who were available in the 5 years preceding the usage of the incisional VAC who had four (6...
2010: Journal of Surgical Orthopaedic Advances
Tara L Huston, Robert T Grant
A 71-year-old woman, one year following a fleur-de-lis abdominoplasty and incisional hernia repair, presented with two chronic, draining peri-umbilical sinuses. Her immediate postoperative course was complicated by a superficial surgical site infection with central skin breakdown that was treated with vacuum assisted closure (VAC). After the wound had closed completely, two midline sinus tracts developed. A CT scan demonstrated an 8x3x1.6cm thick-walled collection along the anterior abdominal wall containing numerous air bubbles...
May 2010: Journal of Plastic, Reconstructive & Aesthetic Surgery: JPRAS
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