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Comparative study of open abdomen treatment: ABThera™ vs. abdominal dressing™

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Abstract

Introduction

Negative pressure therapy (NPT) is a widely recognised procedure for the temporary closure of open abdominal wounds. In this study, we compare two NPT products, the V.A.C.® abdominal dressing (AD) system and the new ABThera™ (ABT) system, in terms of the primary closure rates achieved, types of closure, and the associated morbidity.

Methods

We employed a retrospective comparative study of open-abdomen patients treated with NPT using either AD or ABT. The indications for treatment were damage control surgery, abdominal compartment syndrome, or severe abdominal sepsis.

Results

The group of patients treated with ABT showed a higher percentage of primary closures (41 vs. 11 %) and required fewer days of NPT (17 vs. 26 days) than the AD group. Differences were statistically significant. In addition, only 4 % of patients in the ABT group exhibited enteroatmospheric fistulae, compared to 17 % in the AD group.

Conclusions

Compared to the AD system, ABT can achieve faster primary closure after open abdomen treatment with only minor complications.

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Acknowledgments

We are grateful to the all members of the General and Digestive Surgery Department for their collaboration, to the Statistical Service of the IISPV for the statistical analysis, and to the language service of the Rovira i Virgili University for translating our original text. This study has not received any form of funding and the authors of this article do not have any commercial interest.

Conflict of interest

C.O. declares no conflict of interest. A.C. declares no conflict of interest. E.D. declares no conflict of interest. F.M. declares no conflict of interest. JC. R. declares no conflict of interest. J.V. declares no conflict of interest. V.V. declares no conflict of interest.

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Authors and Affiliations

  1. Digestive and General Surgery Department, University Hospital Joan XXIII Tarragona, 4th Dr. Mallafre Guasch St. 3th floor, 43007, Tarragona, Spain

    C. Olona, A. Caro, E. Duque, F. Moreno, J. Vadillo, J. C. Rueda & V. Vicente

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  1. C. Olona
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  2. A. Caro
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  3. E. Duque
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  4. F. Moreno
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  5. J. Vadillo
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  6. J. C. Rueda
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  7. V. Vicente
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Corresponding author

Correspondence to C. Olona.

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Olona, C., Caro, A., Duque, E. et al. Comparative study of open abdomen treatment: ABThera™ vs. abdominal dressing™. Hernia 19, 323–328 (2015). https://doi.org/10.1007/s10029-014-1253-5

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  • DOI: https://doi.org/10.1007/s10029-014-1253-5

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