지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Annals of Surgical Treatment and Research Vol.104 No.4
- 발행연도
- 2023.4
- 수록면
- 237 - 247 (11page)
이용수
초록· 키워드
오류제보하기
Purpose: The choice of temporary abdominal closure (TAC) method affects the prognosis of trauma patients. Previous studies on TAC are challenging to extrapolate due to data heterogeneity. We aimed to conduct a systematic review and comparison of various TAC techniques.
Methods: We accessed web-based databases for studies on the clinical outcomes of TAC techniques. Recognized techniques, including negative-pressure wound therapy with or without continuous fascial traction, skin tension, meshes, Bogota bags, and Wittman patches, were classified via a method of closure such as skin-only closure vs. patch closure vs. vacuum closure; and via dynamics of treatment like static therapy (ST) vs. dynamic therapy (DT). Study endpoints included in-hospital mortality, definitive fascial closure (DFC) rate, and incidence of intraabdominal complications.
Results: Among 1,065 identified studies, 37 papers comprising 2,582 trauma patients met the inclusion criteria. The vacuum closure group showed the lowest mortality (13%; 95% confidence interval [CI], 6%–19%) and a moderate DFC rate (74%; 95% CI, 67%–82%). The skin-only closure group showed the highest mortality (35%; 95% CI, 7%–63%) and the highest DFC rate (96%; 95% CI, 93%–99%). In the second group analysis, DT showed better outcomes than ST for all endpoints.
Conclusion: Vacuum closure was favorable in terms of in-hospital mortality, ventral hernia, and peritoneal abscess. Skinonly closure might be an alternative TAC method in carefully selected groups. DT may provide the best results; however, further studies are needed.
Methods: We accessed web-based databases for studies on the clinical outcomes of TAC techniques. Recognized techniques, including negative-pressure wound therapy with or without continuous fascial traction, skin tension, meshes, Bogota bags, and Wittman patches, were classified via a method of closure such as skin-only closure vs. patch closure vs. vacuum closure; and via dynamics of treatment like static therapy (ST) vs. dynamic therapy (DT). Study endpoints included in-hospital mortality, definitive fascial closure (DFC) rate, and incidence of intraabdominal complications.
Results: Among 1,065 identified studies, 37 papers comprising 2,582 trauma patients met the inclusion criteria. The vacuum closure group showed the lowest mortality (13%; 95% confidence interval [CI], 6%–19%) and a moderate DFC rate (74%; 95% CI, 67%–82%). The skin-only closure group showed the highest mortality (35%; 95% CI, 7%–63%) and the highest DFC rate (96%; 95% CI, 93%–99%). In the second group analysis, DT showed better outcomes than ST for all endpoints.
Conclusion: Vacuum closure was favorable in terms of in-hospital mortality, ventral hernia, and peritoneal abscess. Skinonly closure might be an alternative TAC method in carefully selected groups. DT may provide the best results; however, further studies are needed.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (0)
참고문헌 신청함께 읽어보면 좋을 논문
논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!
-
Various Methods of Temporary Abdominal Wall Closure
대한외과학회 학술대회 초록집
2022 .11
-
[Trauma/ Critical Care/ Emergency Surgery] Current Opinion in Temporary Abdominal Closure Techniques in Trauma: A Systematic Review and Meta-analysis
대한외과학회 학술대회 초록집
2022 .05
-
Management of an Open Abdomen Considering Trauma and Abdominal Sepsis: A Single-Center Experience
Journal of Acute Care Surgery
2019 .01
-
Abdominal Wall Closure for Contaminated Surgery
대한외과학회 학술대회 초록집
2021 .11
-
Negative Pressure Wound Therapy in the Management of Ventral Hernia Repairs
대한외과학회 학술대회 초록집
2022 .11
-
Traumatic Abdominal Wall Hernia: A Case Report
Journal of trauma and injury : JTI
2017 .01
-
Clinical Trial on the Incidence of Wound Infection and Patient Satisfaction After Stoma Closure: Comparison of Two Skin Closure Techniques
Annals of Coloproctology
2015 .01
-
Abdominal closure with different oblique planes in island TRAM flaps: a method for achieving a better scar and contour of the donor site
Archives of Aesthetic Plastic Surgery
2024 .04
-
Laparoscopy versus Laparotomy for Pediatric Abdominal Trauma: A Current Systematic Review And Meta-analysis
대한외과학회 학술대회 초록집
2020 .11
-
A Feasible Operative Treatment Strategy for Trauma Patient with Difficulties in Closing the Abdomen during Open Abdomen Management (OAM) Following Damage Control Surgery-Secondary Publication
Journal of Acute Care Surgery
2020 .01
-
Single-Layer vs. Double-Layer Donor Scalp Wound Closure in Strip Harvest
Archives of Aesthetic Plastic Surgery
2017 .01
-
피하기종의 Vacuum-assisted Closure Therapy
Journal of trauma and injury : JTI
2015 .01
-
Stoma Closure
대한외과학회 학술대회 초록집
2017 .11
-
Various Methods of Treatment of Ventral Hernia
대한외과학회 학술대회 초록집
2019 .10
-
Coronavirus Disease 2019, School Closures, and Children’s Mental Health
소아청소년정신의학
2020 .04
-
Mesh Positions for Ventral Hernia Repair: Techniques and Outcomes
대한외과학회 학술대회 초록집
2019 .10
-
The Evolving Policy Debate on Border Closure in Korea
예방의학회지
2020 .01
-
Prognostic Value of Neutrophil-to-Lymphocyte Ratio in Patients with Abdominal Trauma
대한외과학회 학술대회 초록집
2021 .05
-
Analysis of Abdominal Trauma Patients Using National Emergency Department Information System
Journal of trauma and injury : JTI
2016 .01
-
복부 둔상 후에 발생한 십이지장 단독 손상
Journal of trauma and injury : JTI
2015 .01
이 논문의 저자 정보
최근 본 자료
댓글(0)
0
UCI(KEPA) : I410-ECN-0101-2023-514-001320733