Clinical & Experimental Cardiology
Open Access

Negative pressure wound therapy (NPWT) for the treatment of open abdomen

10^th International Conference on Hypertension and Healthcare

March 24, 2022 | Webinar

Alin A. Abrudan

Department of Surgery, Municipal Clinical Hospital, Cluj-Napoca, Romania

Scientific Tracks Abstracts: J Clin Exp Cardiolog

Abstract :

Introduction: Abdominal surgical pathology can contribute to an increased rate of postoperative morbidity, leading to prolonged hospitalization. The most severe complication of open abdomen syndrome (celiostomy) after abdominal surgery is the lateral retraction of the anterior rectus sheath and the oblique muscles aponeuroses, which makes it difficult to close the primary defect, leading to subsequent complications. Negative pressure wound therapy (NPWT) is a relatively new method that facilitates the closing of the anterior wall after open abdomen surgery. In addition to other absorbable or biological mesh-based methods, Bogota bag or Backer’s vacuum packing technique, NPWT is seen as a potential bridging method for achieving definitive abdominal closure. The aim of the current study was to present the advantages of NPWT in a retrospective cohort of patients treatment either in the emergency setting of acute abdomen, or in the event of severe postoperative abdominal complications. Patients and Methods: The present study included 15 patients (2018-2020), with ages ranging from 51 to 81 years old. In all patients, total abdominal closure was achieved by using the NPWT Vivanno Hartmann device. The principle behind the rationale of the procedure is similar to other manufacturers’ devices and involves the intraperitoneal placement of a microporous silicone material, which is placed in contact with the bowel loops. Results: The in-hospital days ranged between 10 to 124 days, with an average of 65 days. The primary closure rate of the abdomen was achieved in 12 patients. The 90-days post-discharge mortality rate was of 33%. 5 patients died due to septic shock followed by MSOF. Conclusions: The use of NPWT should be tailored, taking into account the primary pathology, as well as the patient’s comorbidities. In current clinical practice, NPWT could help reduce hospitalization duration and decrease postoperative morbidity and mortality, with a drastic downfall of in-hospital costs. NPWT remains one of the main therapies that help in bridging the open abdomen towards definitive abdominal closure. Keywords: Negative pressure, open abdomen, site infection

Biography :

Alin A. Abrudan Is well known in the Department of Surgery, And developed his research work in Municipal Clinical Hospital, Cluj-Napoca, Romania.