Open abdomen - challenge for surgeon

a 2019

Open abdomen - challenge for surgeon

VEVERKOVÁ, Lenka; Michal REŠKA; Jan ŽÁK; Petr VLČEK; Ivan ČAPOV et al.

Základní údaje

Originální název

Open abdomen - challenge for surgeon

Autoři

VEVERKOVÁ, Lenka; Michal REŠKA; Jan ŽÁK; Petr VLČEK a Ivan ČAPOV

Vydání

EWMA 2019, 2019

Další údaje

Jazyk

angličtina

Typ výsledku

Konferenční abstrakt

Obor

30212 Surgery

Stát vydavatele

Švédsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Označené pro přenos do RIV

Ano

Kód RIV

RIV/00216224:14110/19:00109868

Organizační jednotka

Lékařská fakulta

Klíčová slova česky

open abdomen NPWT

Klíčová slova anglicky

open abdomen NPWT

Štítky

rivok

Změněno: 15. 4. 2020 14:52, Mgr. Tereza Miškechová

Anotace

V originále

Aim: 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 following a trauma, or a previous surgery with or without infection. Various methods are available and their aim is the same – to cure the patient’s defect. There are recommended and tried methods of treatment of these serious and often life-threatening defects and these days treatment may also involve NPWT. Method: In the period between June 2011 and November 2018 we observed 97 patients with an open abdomen were treated using NPWT. We evaluated the length of treatment,wound size, onset of infection, level of pain and the price of treatment. Results / Discussion: The patients’ average age was 52.7 years, ranging between 19 and 83. The wound sizes varied from 8cmx5cm to 38cmx35cm. Treatment with NWPT averaged 15,92 days, and number of dressing were 3,84, dressings were changed every 4.1 days. A split-thickness skin graft or secondary suture were used. No significant complications occurred. The wounds detracted by 21 to 90.4%. The time of the treatment NPWT does not depend on age. Conclusion: The NPWT is an excellent method of treatment for open abdomen, reduces mortality, hospitalisation, shortening of the economic burden of health care providers.

Citovat

VEVERKOVÁ, Lenka; Michal REŠKA; Jan ŽÁK; Petr VLČEK a Ivan ČAPOV. Open abdomen - challenge for surgeon. In EWMA 2019. 2019.

@proceedings{1538176,
   author = {Veverková, Lenka and Reška, Michal and Žák, Jan and Vlček, Petr and Čapov, Ivan},
   booktitle = {EWMA 2019},
   keywords = {open abdomen NPWT},
   language = {eng},
   title = {Open abdomen - challenge for surgeon},
   url = {http://program.m-anage.com/ProgramSearch/Person?eventname=ewma2019&language=en-GB&searchstring=veverkova&userid=696372&pProgramGrade=All},
   year = {2019}
}

TY  - CONF
ID  - 1538176
AU  - Veverková, Lenka - Reška, Michal - Žák, Jan - Vlček, Petr - Čapov, Ivan
PY  - 2019
TI  - Open abdomen - challenge for surgeon
KW  - open abdomen NPWT
UR  - http://program.m-anage.com/ProgramSearch/Person?eventname=ewma2019&language=en-GB&searchstring=veverkova&userid=696372&pProgramGrade=All
L2  - http://program.m-anage.com/ProgramSearch/Person?eventname=ewma2019&language=en-GB&searchstring=veverkova&userid=696372&pProgramGrade=All
N2  - Aim: 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 following a trauma, or a previous surgery with or without infection. Various methods are available and their aim is the same – to cure the patient’s defect. There are recommended and tried methods of treatment of these serious and often life-threatening defects and these days treatment may also involve NPWT. Method: In the period between June 2011 and November 2018 we observed 97 patients with an open abdomen were treated using NPWT. We evaluated the length of treatment,wound size, onset of infection, level of pain and the price of treatment. Results / Discussion: The patients’ average age was 52.7 years, ranging between 19 and 83. The wound sizes varied from 8cmx5cm to 38cmx35cm. Treatment with NWPT averaged 15,92 days, and number of dressing were 3,84, dressings were changed every 4.1 days. A split-thickness skin graft or secondary suture were used. No significant complications occurred. The wounds detracted by 21 to 90.4%. The time of the treatment NPWT does not depend on age. Conclusion: The NPWT is an excellent method of treatment for open abdomen, reduces mortality, hospitalisation, shortening of the economic burden of health care providers.
ER  -

VEVERKOVÁ, Lenka; Michal REŠKA; Jan ŽÁK; Petr VLČEK a Ivan ČAPOV. Open abdomen - challenge for surgeon. In \textit{EWMA 2019}. 2019.

Přehled o publikaci