Temporary closure of open abdominal wounds by the modified sandwich–vacuum pack technique

摘要: Background: A 5-year experience with the modified sandwich-vacuum pack technique, using an opened 3-litre urological irrigation bag and continuous high-pressure suction, for temporary abdominal wall closure is presented. Methods: The records of all patients who underwent this method from January 1996 to December 2000 were examined. Results: was used 139 times in 55 patients. Forty sustained penetrating trauma while 15 blunt trauma. mean Injury Severity Score 19 (range 9-34). Intra-abdominal sepsis (51 per cent) commonest indication, followed by visceral oedema (18 cent), compartment syndrome (16 intra-abdominal packing (11 defects (4 cent). overall mortality rate 45 cent. Three (5 developed enterocutaneous fistula. Of 30 survivors, 16 primary fascial closure. Conclusion: technique easy rapid, cost effective provides means containing contents.