Vacuum-assisted wound closure provides early fascial reapproximation in trauma patients with open abdomens.

摘要: Abstract Background: Damage control and decompressive laparotomies salvage severely injured patients who would have previously died. Unfortunately, many of these develop open abdomens. A variety management strategies exist. The end result in cases, however, is a large ventral hernia that requires complex repair 6 to 12 months after discharge. We instituted vacuum-assisted wound closure (VAWC) achieve early fascial eliminate the need for delayed procedures. Methods: For ending June 2000, 14 698 trauma intensive care unit admissions developed abdomens were managed with VAWC dressing. This was changed every 48 hours operating room serial approximation until complete closure. Results: Fascial achieved 13 (92%) 9.9 ± 1.9 days, 2.8 0.6 dressing changes performed. There 2 infections, no eviscerations, enteric fistulas. Conclusions: Use can safely more than 90%