Vacuum-Assisted Wound Closure Achieves Early Fascial Closure of Open Abdomens after Severe Trauma

James W. Suliburk, Drue N. Ware, Zsolt Balogh, Bruce A. McKinley, Christine S Cocanour, Rosemary A. Kozar, Frederick A. Moore

Research output: Contribution to journalArticle

140 Citations (Scopus)

Abstract

Background: This study reviews the efficacy of vacuum-assisted wound closure (VAWC) to obtain primary fascial closure of open abdomens after severe trauma. Methods: The study population included shock resuscitation patients who had open abdomens treated with VAWC. The VAWC dressing was changed at 2- to 3-day intervals and downsized as fascial closure was completed with interrupted suture. The Trauma Research Database and the medical records were reviewed for pertinent data. Results: Over 26 months, 35 patients with open abdomens were managed by VAWC. Six died early, leaving 29 patients who were discharged. Of these, 25 (86%) were successfully closed using VAWC at a mean of 7 ± 1 days (range, 3-18 days). Of the four patients that failed VAWC, two developed fistulas. No patients developed evisceration, intra-abdominal abscess, or wound infection. Conclusion: VAWC achieved early fascial closure in a high percentage of open abdomens, with an acceptable rate of complications.

Original languageEnglish (US)
Pages (from-to)1155-1160
Number of pages6
JournalJournal of Trauma - Injury, Infection and Critical Care
Volume55
Issue number6
DOIs
StatePublished - Dec 2003
Externally publishedYes

Fingerprint

Negative-Pressure Wound Therapy
Abdomen
Wounds and Injuries
Intraabdominal Infections
Abdominal Abscess
Wound Infection
Bandages
Resuscitation
Sutures
Fistula
Medical Records
Shock
Databases

Keywords

  • Abdominal compartment syndrome
  • Damage control
  • Fascial closure
  • Open abdomen
  • Vacuum-assisted wound closure

ASJC Scopus subject areas

  • Surgery

Cite this

Vacuum-Assisted Wound Closure Achieves Early Fascial Closure of Open Abdomens after Severe Trauma. / Suliburk, James W.; Ware, Drue N.; Balogh, Zsolt; McKinley, Bruce A.; Cocanour, Christine S; Kozar, Rosemary A.; Moore, Frederick A.

In: Journal of Trauma - Injury, Infection and Critical Care, Vol. 55, No. 6, 12.2003, p. 1155-1160.

Research output: Contribution to journalArticle

Suliburk, James W. ; Ware, Drue N. ; Balogh, Zsolt ; McKinley, Bruce A. ; Cocanour, Christine S ; Kozar, Rosemary A. ; Moore, Frederick A. / Vacuum-Assisted Wound Closure Achieves Early Fascial Closure of Open Abdomens after Severe Trauma. In: Journal of Trauma - Injury, Infection and Critical Care. 2003 ; Vol. 55, No. 6. pp. 1155-1160.
@article{9e6ab319a082470bb47e6ca09a5b14e1,
title = "Vacuum-Assisted Wound Closure Achieves Early Fascial Closure of Open Abdomens after Severe Trauma",
abstract = "Background: This study reviews the efficacy of vacuum-assisted wound closure (VAWC) to obtain primary fascial closure of open abdomens after severe trauma. Methods: The study population included shock resuscitation patients who had open abdomens treated with VAWC. The VAWC dressing was changed at 2- to 3-day intervals and downsized as fascial closure was completed with interrupted suture. The Trauma Research Database and the medical records were reviewed for pertinent data. Results: Over 26 months, 35 patients with open abdomens were managed by VAWC. Six died early, leaving 29 patients who were discharged. Of these, 25 (86{\%}) were successfully closed using VAWC at a mean of 7 ± 1 days (range, 3-18 days). Of the four patients that failed VAWC, two developed fistulas. No patients developed evisceration, intra-abdominal abscess, or wound infection. Conclusion: VAWC achieved early fascial closure in a high percentage of open abdomens, with an acceptable rate of complications.",
keywords = "Abdominal compartment syndrome, Damage control, Fascial closure, Open abdomen, Vacuum-assisted wound closure",
author = "Suliburk, {James W.} and Ware, {Drue N.} and Zsolt Balogh and McKinley, {Bruce A.} and Cocanour, {Christine S} and Kozar, {Rosemary A.} and Moore, {Frederick A.}",
year = "2003",
month = "12",
doi = "10.1097/01.TA.0000100218.03754.6A",
language = "English (US)",
volume = "55",
pages = "1155--1160",
journal = "Journal of Trauma and Acute Care Surgery",
issn = "2163-0755",
publisher = "Lippincott Williams and Wilkins",
number = "6",

}

TY - JOUR

T1 - Vacuum-Assisted Wound Closure Achieves Early Fascial Closure of Open Abdomens after Severe Trauma

AU - Suliburk, James W.

AU - Ware, Drue N.

AU - Balogh, Zsolt

AU - McKinley, Bruce A.

AU - Cocanour, Christine S

AU - Kozar, Rosemary A.

AU - Moore, Frederick A.

PY - 2003/12

Y1 - 2003/12

N2 - Background: This study reviews the efficacy of vacuum-assisted wound closure (VAWC) to obtain primary fascial closure of open abdomens after severe trauma. Methods: The study population included shock resuscitation patients who had open abdomens treated with VAWC. The VAWC dressing was changed at 2- to 3-day intervals and downsized as fascial closure was completed with interrupted suture. The Trauma Research Database and the medical records were reviewed for pertinent data. Results: Over 26 months, 35 patients with open abdomens were managed by VAWC. Six died early, leaving 29 patients who were discharged. Of these, 25 (86%) were successfully closed using VAWC at a mean of 7 ± 1 days (range, 3-18 days). Of the four patients that failed VAWC, two developed fistulas. No patients developed evisceration, intra-abdominal abscess, or wound infection. Conclusion: VAWC achieved early fascial closure in a high percentage of open abdomens, with an acceptable rate of complications.

AB - Background: This study reviews the efficacy of vacuum-assisted wound closure (VAWC) to obtain primary fascial closure of open abdomens after severe trauma. Methods: The study population included shock resuscitation patients who had open abdomens treated with VAWC. The VAWC dressing was changed at 2- to 3-day intervals and downsized as fascial closure was completed with interrupted suture. The Trauma Research Database and the medical records were reviewed for pertinent data. Results: Over 26 months, 35 patients with open abdomens were managed by VAWC. Six died early, leaving 29 patients who were discharged. Of these, 25 (86%) were successfully closed using VAWC at a mean of 7 ± 1 days (range, 3-18 days). Of the four patients that failed VAWC, two developed fistulas. No patients developed evisceration, intra-abdominal abscess, or wound infection. Conclusion: VAWC achieved early fascial closure in a high percentage of open abdomens, with an acceptable rate of complications.

KW - Abdominal compartment syndrome

KW - Damage control

KW - Fascial closure

KW - Open abdomen

KW - Vacuum-assisted wound closure

UR - http://www.scopus.com/inward/record.url?scp=0346099529&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0346099529&partnerID=8YFLogxK

U2 - 10.1097/01.TA.0000100218.03754.6A

DO - 10.1097/01.TA.0000100218.03754.6A

M3 - Article

C2 - 14676665

AN - SCOPUS:0346099529

VL - 55

SP - 1155

EP - 1160

JO - Journal of Trauma and Acute Care Surgery

JF - Journal of Trauma and Acute Care Surgery

SN - 2163-0755

IS - 6

ER -