TREATMENT OF ABDOMINAL WALL DEFECTS:A CHALLENGE FOR SURGEON

a 2013

TREATMENT OF ABDOMINAL WALL DEFECTS:A CHALLENGE FOR SURGEON

VEVERKOVÁ, Lenka; Jan ŽÁK a Petr VLČEK

Základní údaje

Originální název

TREATMENT OF ABDOMINAL WALL DEFECTS:A CHALLENGE FOR SURGEON

Autoři

VEVERKOVÁ, Lenka; Jan ŽÁK a Petr VLČEK

Vydání

23rd Conference of the European Wound Management Association, EWMA Journal Vol 13, No1, Supplement, 2013

Další údaje

Jazyk

angličtina

Typ výsledku

Konferenční abstrakt

Obor

30200 3.2 Clinical medicine

Stát vydavatele

Dánsko

Utajení

není předmětem státního či obchodního tajemství

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/13:00068421

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

NPWT Open abdomen

Změněno: 28. 5. 2013 15:11, doc. MUDr. Lenka Veverková, Ph.D.

Anotace

V originále

Introduction: 30% of patients in intensive care contract an intra-abdominal infection and according to literature complications related to a previous surgery or the recurrence of an infection causing morbidity are as high as 50%. In clinical practice we often need to select the most appropriate method for the treatment of an abdominal wall defect or open abdomen. Various methods are available and their aim is the same – to cure the patient’s defect. Method: In the period between June 2011 and December 2012 we observed 32 patients with an abdominal wall defect following surgery who were treated using NPWT. Four of these patients were treated for an “open abdomen,” according to Bjorck’s open abdomen classification they were in category 2B, 3 and also 4. We evaluated the length of treatment, wound size, onset of infection, level of pain and the price of treatment. We assessed wound size using the WHAT method and to assess the risk of infection we used W.A.R. classification. Results: The patients’ average age was 52.7 years. The wound sizes varied from 8cmx5cm to 38cmx35cm. Treatment with NWPT averaged 13 days, and dressings were changed every 4.5 days. All wounds were infected, no mortalities occurred and all the wounds healed. A split-thickness skin graft or secondary suture were used. No significant complications occurred. The wounds detracted by 21 to 90.4% during the NWPT treatment. Conclusion: The NPWT is an excellent method of treatment for open abdomen and abdominal wall defects following surgery.

Citovat

VEVERKOVÁ, Lenka; Jan ŽÁK a Petr VLČEK. TREATMENT OF ABDOMINAL WALL DEFECTS:A CHALLENGE FOR SURGEON. In 23rd Conference of the European Wound Management Association, EWMA Journal Vol 13, No1, Supplement. 2013.

@proceedings{1108868,
   author = {Veverková, Lenka and Žák, Jan and Vlček, Petr},
   booktitle = {23rd Conference of the European Wound Management Association, EWMA Journal Vol 13, No1, Supplement},
   keywords = {NPWT Open abdomen},
   language = {eng},
   title = {TREATMENT OF ABDOMINAL WALL DEFECTS:A CHALLENGE FOR SURGEON},
   year = {2013}
}

TY  - CONF
ID  - 1108868
AU  - Veverková, Lenka - Žák, Jan - Vlček, Petr
PY  - 2013
TI  - TREATMENT OF ABDOMINAL WALL DEFECTS:A CHALLENGE FOR SURGEON
KW  - NPWT Open abdomen
N2  - Introduction: 30% of patients in intensive care contract an intra-abdominal infection and according to literature complications related to a previous surgery or the recurrence of an infection causing morbidity are as high as 50%. In clinical practice we often need to select the most appropriate method for the treatment of an abdominal wall defect or open abdomen. Various methods are available and their aim is the same – to cure the patient’s defect. Method: In the period between June 2011 and December 2012 we observed 32 patients with an abdominal wall defect following surgery who were treated using NPWT. Four of these patients were treated for an “open abdomen,” according to Bjorck’s open abdomen classification they were in category 2B, 3 and also 4. We evaluated the length of treatment, wound size, onset of infection, level of pain and the price of treatment. We assessed wound size using the WHAT method and to assess the risk of infection we used W.A.R. classification. Results: The patients’ average age was 52.7 years. The wound sizes varied from 8cmx5cm to 38cmx35cm. Treatment with NWPT averaged 13 days, and dressings were changed every 4.5 days. All wounds were infected, no mortalities occurred and all the wounds healed. A split-thickness skin graft or secondary suture were used. No significant complications occurred. The wounds detracted by 21 to 90.4% during the NWPT treatment. Conclusion: The NPWT is an excellent method of treatment for open abdomen and abdominal wall defects following surgery.
ER  -

VEVERKOVÁ, Lenka; Jan ŽÁK a Petr VLČEK. TREATMENT OF ABDOMINAL WALL DEFECTS:A CHALLENGE FOR SURGEON. In \textit{23rd Conference of the European Wound Management Association, EWMA Journal Vol 13, No1, Supplement}. 2013.

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