Effects of temporary abdominal closure methods on mortality and morbidity in patients with open abdomen

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dc.authoridhttps://orcid.org/0000-0002-0229-2911en_US
dc.authoridhttps://orcid.org/0000-0002-5922-2367en_US
dc.authoridhttps://orcid.org/0000-0002-2501-0083en_US
dc.authoridhttps://orcid.org/0000-0003-0780-5330en_US
dc.contributor.authorKılıç, Erol
dc.contributor.authorUğur, Mustafa
dc.contributor.authorYetim, İbrahim
dc.contributor.authorTemiz, Muhyittin
dc.date.accessioned2019-06-27T12:35:02Z
dc.date.available2019-06-27T12:35:02Z
dc.date.issued2018en_US
dc.departmentTayfur Ata Sökmen Tıp Fakültesien_US
dc.description.abstractBACKGROUND: Open abdomen (OA) in which the abdomen is closed with temporary abdominal closure methods is the most effective in patients who develop severe abdominal sepsis or abdominal compartment syndrome. Major techniques used are Vacuum-Assisted Closure Method (VACM) and non-vacuum assisted closure method (NVACM). In the present study, the effects of different abdominal closure methods on morbidity and mortality were evaluated. METHODS: In the study, the temporary abdominal closure methods of the patients with OA during 2013–2016 were studied retrospectively. OA etiopathologies, mortality prediction scores, final abdominal closure periods and methods, hospitalization periods, complications (enteroatmospheric fistula, mesh infection, and incisional hernia), and mortality rates of patients who underwent VACM and NVACM were determined and compared. RESULTS: The present study included 123 patients who underwent VACM (n=65) and NVACM (n=58). There was no difference between the groups in terms of age, gender, and etiopathogenesis (p>0.05). The mean APACHE 4 and Multiple Organ Dysfunction Score (MODS) scores in the VACM/NVACM groups in treatment period were 47/63 and 11/14, respectively (p<0.05). The mean intensive care and hospitalization periods in the VACM/NVACM groups were 11/16 (days) and 22/28 (days), respectively (p<0.05). The collection and abscess development rates in the VACM and NVACM groups were 46.2% and 77.6%, respectively (p<0.05). The rate of enteroatmospheric fistula (EAF) development in the VACM and NVACM groups were 15.4% and 56.9%, respectively (p<0.05). The mean abdominal closure times in the VACM and NVACM groups were 13 and 17 days, respectively (p<0.05). Mortality rate in the VACM and NVACM groups were 18% (n=18) and 55% (n=32), respectively (p<0.05). CONCLUSION: In patients with OA, the temporary abdominal closure technique VACM has lower complication and mortality rates and shorter hospitalization period than other methods. Therefore, it is an effective and safe method for the treatment of OA.en_US
dc.identifier.citationKılıç, E., Uğur, M., Yetim, İ., & Temiz, M. (2018). Effects of temporary abdominal closure methods on mortality and morbidity in patients with open abdomen. Ulusal travma ve acil cerrahi dergisi= Turkish journal of trauma & emergency surgery: TJTES, 24(4), 321-326.en_US
dc.identifier.doi10.5505/tjtes.2017.95038en_US
dc.identifier.endpage326en_US
dc.identifier.issn1306-696X
dc.identifier.issue4en_US
dc.identifier.pmid30028489en_US
dc.identifier.scopus2-s2.0-85050746272en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage321en_US
dc.identifier.urihttps://dx.doi.org/ 10.5505/tjtes.2017.95038
dc.identifier.urihttps://hdl.handle.net/20.500.12483/118
dc.identifier.volume24en_US
dc.identifier.wosWOS:000439418700007en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherUlusal Travma ve Acil Cerrahi Derneğien_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisien_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectBaker Methoden_US
dc.subjectBogota Bagen_US
dc.subjectNon-Vacuum Assisted Closure Method (NVACM)en_US
dc.subjectOpen Abdomenen_US
dc.subjectTemporary Abdomen Closureen_US
dc.subjectAcuum-Assisted Closure Method (VACM).en_US
dc.titleEffects of temporary abdominal closure methods on mortality and morbidity in patients with open abdomenen_US
dc.title.alternativeAçık karın (open abdomen) uygulanan hastalarda geçici karın kapama yöntemlerinin mortalite ve morbidite üzerine etkisien_US
dc.typeArticleen_US

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