Laparostomy management using the ABThera™ open abdomen negative pressure therapy system in a grade IV open abdomen secondary to acute pancreatitis

@article{Fitzgerald2013LaparostomyMU,
  title={Laparostomy management using the ABThera{\texttrademark} open abdomen negative pressure therapy system in a grade IV open abdomen secondary to acute pancreatitis},
  author={James Edward Frankland Fitzgerald and Shradha Gupta and Sarah Masterson and H. H. Sigurdsson},
  journal={International Wound Journal},
  year={2013},
  volume={10}
}
Wound control in laparostomy for the treatment of intra‐abdominal hypertension remains challenging and numerous techniques have been described. We report the first UK experience with a new commercially available device specifically designed to facilitate management of the open abdomen. A 44‐year‐old gentleman presented with a 3‐day history of constant severe epigastric pain and associated vomiting. Amylase was markedly elevated and he was admitted for supportive management of pancreatitis, with… 
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NPT has several potential advantages in open-abdomen (OA) management of secondary peritonitis and may make it possible to achieve all the goals suggested above for an ideal TAC system.
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TLDR
Negative pressure wound therapy (NPWT) is one of variety of techniques used to manage the open abdomen in view of severe abdominal sepsis and intraabdominal hypertension and is especially important with the current increase in antibiotic resistance in surgical ICU patients as well as suboptimal practices related to the use of antibiotics.
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The series shows that in the management of laparostomy wounds, NPWT provides an easier way to manage the large volumes of exudates and reduces the frequency of dressings changes required with traditional wound dressings.
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Subsequent therapies after use of the open abdomen technique and temporary abdominal closure are resuscitation in the intensive care unit and planned reoperation to manage the underlying cause of bleeding, infection, or ischemia.
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Skin-only closure, in carefully selected patients, is a feasible alternative to other temporary abdominal closure techniques in a resource-constrained setting.
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References

SHOWING 1-10 OF 40 REFERENCES
Transverse laparostomy is feasible and effective in the treatment of abdominal compartment syndrome in severe acute pancreatitis
TLDR
Transverse subcostal laparostomy is a promising alternative decompression technique for ACS in SAP that is feasible, effective and might provide a chance of early fascial closure.
The technique of visceral packing: recommended management of difficult fascial closure in trauma patients.
TLDR
Visceral packing of posttraumatic abdominal wounds circumvents expected complications of intraperitoneal hypertension and enhances the chance for survival and its ease and low morbidity also lends itself to a wide variety of other uses.
Prospective Evaluation of Vacuum-Assisted Fascial Closure After Open Abdomen: Planned Ventral Hernia Rate Is Substantially Reduced
TLDR
The use of VAFC under a carefully defined protocol has resulted in significantly higher fascial closure rates, obviating the need for subsequent hernia repair in most patients.
Etappenlavage: Advanced diffuse peritonitis managed by planned multiple laparotomies utilizing zippers, slide fastener, and Velcro® analogue for temporary abdominal closure
TLDR
Overall, the mortality of advanced diffuse peritonitis was reduced from a predicted 34–93% (APACHE II/SIS scoring) to 24%, and Velcro® analogue (artificial burr) was the most practical device for temporary abdominal closure.
Small Bowel Fistulas and the Open Abdomen
  • H. Becker, A. Willms, R. Schwab
  • Medicine
    Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society
  • 2007
TLDR
The literature selected for this review shows that the surgical handling of the exposed bowel, the choice of the material for temporary coverage and early progressive closure of the defect are crucial for the prevention of fistulas.
Decompressive laparotomy for abdominal compartment syndrome – a critical analysis
TLDR
The effects of decompressive laparotomy have been poorly investigated, and only a small number of studies report its effect on parameters of organ function.
Abdominal Compartment Syndrome in Severe Acute Pancreatitis – When to Decompress?
TLDR
If conservative measures fail to reduce IAP in a setting with ongoing or worsening organ dysfunction, abdominal decompression is recommended: patients with persistent IAH seem to be at the highest risk for mortality.
Emergency Abdominal Wall Reconstruction with Polypropylene Mesh: Short‐term Benefits Versus Long‐term Complications
TLDR
Polypropylene mesh had significant early advantages for providing abdominal wall integrity even in the presence of severe infection, however, long-term problems were common when wounds were closed to skin grafts or secondary intention, and strong consideration should be given to myocutaneous flaps for coverage after the primary illness has resolved.
Abdominal compartment syndrome in patients with severe acute pancreatitis in early stage.
TLDR
Patients with IAP at approximately 10-12 mmHg and early signs of changes in physiologic variables should be seriously considered for urgent decompression to improve survival, especially in patients admitted to the ICU because of AP.
Intra-abdominal pressure in severe acute pancreatitis
TLDR
In patients with SAP, increased IAP is associated with development of early organ failure reflected in increased mortality and fewer ICU-free days.
...
...