Vacuum-assisted close versus conventional treatment for postlaparotomy wound dehiscence.
10.4174/astr.2014.87.5.260
- Author:
Yoon Song KO
1
;
Sung Won JUNG
Author Information
1. Department of Surgery, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea. sungwon94@naver.com
- Publication Type:Original Article
- Keywords:
Vacuum-assisted closure;
Dehiscence;
Wound
- MeSH:
Humans;
Intestinal Fistula;
Length of Stay;
Negative-Pressure Wound Therapy;
Reoperation;
Wounds and Injuries*
- From:Annals of Surgical Treatment and Research
2014;87(5):260-264
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: The conventional treatment for postlaparotomy wound dehiscence usually involves surgical revision. Recently, vacuum-assisted closure has been successfully used in postlaparotomy wound dehiscence. The aim of the present study was to compare the clinical outcome of 207 patients undergoing vacuum-assisted closure therapy or conventional treatment for postlaparotomy wound dehiscence. METHODS: Two hundred and seven consecutive patients underwent treatment for postlaparotomy wound dehiscence: vacuum-assisted closure therapy (January 2007 through August 2012, n = 25) or conventional treatment (January 2001 through August 2012, n = 182). RESULTS: The failure rate to first-line treatment with vacuum-assisted closure and conventional treatment were 0% and 14.3%, respectively (P = 0.002). There was no statistically significant difference in the enterocutaneous fistulas and hospital stay after vacuum-assisted closure therapy or conventional treatment respectively. CONCLUSION: Our findings support that vacuum-assisted closure therapy is a safe and reliable option in postlaparotomy wound dehiscence with very low failure rate in surgical revision compared with conventional treatment.
