The long-term outcomes of early abdominal wall reconstruction by bilateral anterior rectus abdominis sheath turnover flap method in critically ill patients requiring open abdomen

被引:8
作者
Arai, Masatoku [1 ]
Kim, Shiei [1 ]
Ishii, Hiromoto [1 ]
Hagiwara, Jun [1 ]
Kushimoto, Shigeki [2 ]
Yokota, Hiroyuki [1 ]
机构
[1] Nippon Med Sch, Dept Emergency & Crit Care Med, Bunkyo Ku, 1-1-5 Sendagi, Tokyo 1138603, Japan
[2] Tohoku Univ, Div Emergency & Crit Care Med, Grad Sch Med, Aoba Ku, 1-1 Seiryo Machi, Sendai, Miyagi 9808574, Japan
来源
WORLD JOURNAL OF EMERGENCY SURGERY | 2018年 / 13卷
关键词
Open abdomen; Negative pressure wound therapy; Abdominal wall reconstruction; Abdominal compartment syndrome; FASCIAL CLOSURE; TRACTION; REPAIR;
D O I
10.1186/s13017-018-0200-7
中图分类号
R4 [临床医学];
学科分类号
1002 ; 100602 ;
摘要
Background: In a previous study, we reported the usefulness of early abdominal wall reconstruction using bilateral anterior rectus abdominis sheath turnover flap method (turnover flap method) in open abdomen (OA) patients in whom early primary fascial closure was difficult to achieve. However, the long-term outcomes have not been elucidated. In the present study, we aimed to evaluate the procedure, particularly in terms of ventral hernia, pain, and daily activities. Methods: Between 2001 and 2013, 15 consecutive patients requiring OA after emergency laparotomy and in whom turnover flap method was applied were retrospectively identified. The long-term outcomes were evaluated based on medical records, physical examinations, CT imaging, and a ventral hernia pain questionnaire (VHPQ). Results: The turnover flap method was applied in 2 trauma and 13 non-trauma patients. In most of cases, primary fascial closure could not be achieved due to massive visceral edema. The turnover flap method was performed for abdominal wall reconstruction at the end of OA. The median duration of OA was 6 (range 1-42) days. One of the 15 patients died of multiple organ failure during initial hospitalization after the performance of the turnover flap method. Fourteen patients survived, and although wound infection was observed in 3 patients, none showed enteric fistula, abdominal abscess, graft infection, or ventral hernia during hospitalization. However, it was found that 1 patient developed ventral hernia during follow-up at an outpatient visit. Nine of 14 patients were alive and able to be evaluated with a VHPQ (follow-up period: median 10 years; range 3-15 years). Seven out of nine patients were satisfied with this procedure, and none complained of pain or were limited in their daily activities. Conclusions: Based on the results of this study, early abdominal reconstruction using the turnover flap method can be considered to be safe and effective as an alternative technique for OA patients in whom primary fascial closure is considered difficult to achieve.
引用
收藏
页数:6
相关论文
共 13 条
  • [1] Temporary Abdominal Closure After Abdominal Aortic Aneurysm Repair: A Systematic Review of Contemporary Observational Studies
    Acosta, S.
    Wanhainen, A.
    Bjorck, M.
    [J]. EUROPEAN JOURNAL OF VASCULAR AND ENDOVASCULAR SURGERY, 2016, 51 (03) : 371 - 378
  • [2] Arai M, 2018, CHIRURGIA BUCUR
  • [3] A novel technique for managing open abdomen with the combined use of mesh-mediated traction and the bilateral anterior rectus abdominis sheath turnover flap method: how to do it
    Arai, Masatoku
    Kushimoto, Shigeki
    Kim, Shiei
    Masuno, Tomohiko
    Hagiwara, Jun
    Ishii, Hiromoto
    Yokota, Hiroyuki
    [J]. SURGERY TODAY, 2015, 45 (10) : 1335 - 1339
  • [4] International consensus conference on open abdomen in trauma
    Chiara, Osvaldo
    Cimbanassi, Stefania
    Biffl, Walter
    Leppaniemi, Ari
    Henry, Sharon
    Scalea, Thomas M.
    Catena, Fausto
    Ansaloni, Luca
    Chieregato, Arturo
    de Blasio, Elvio
    Gambale, Giorgio
    Gordini, Giovanni
    Nardi, Guiseppe
    Paldalino, Pietro
    Gossetti, Francesco
    Dionigi, Paolo
    Noschese, Giuseppe
    Tugnoli, Gregorio
    Ribaldi, Sergio
    Sgardello, Sebastian
    Magnone, Stefano
    Rausei, Stefano
    Mariani, Anna
    Mengoli, Francesca
    di Saverio, Salomone
    Castriconi, Maurizio
    Coccolini, Federico
    Negreanu, Joseph
    Razzi, Salvatore
    Coniglio, Carlo
    Morelli, Francesco
    Buonanno, Maurizio
    Lippi, Monica
    Trotta, Liliana
    Volpi, Annalisa
    Fattori, Luca
    Zago, Mauro
    de Rai, Paolo
    Sammartano, Fabrizio
    Manfredi, Roberto
    Cingolani, Emiliano
    [J]. JOURNAL OF TRAUMA AND ACUTE CARE SURGERY, 2016, 80 (01) : 173 - 183
  • [5] Validation of a questionnaire for the assessment of pain following ventral hernia repair-the VHPQ
    Clay, Leonard
    Franneby, Ulf
    Sandblom, Gabriel
    Gunnarsson, Ulf
    Strigard, Karin
    [J]. LANGENBECKS ARCHIVES OF SURGERY, 2012, 397 (08) : 1219 - 1224
  • [6] The open abdomen in trauma and non-trauma patients: WSES guidelines
    Coccolini, Federico
    Roberts, Derek
    Ansaloni, Luca
    Ivatury, Rao
    Gamberini, Emiliano
    Kluger, Yoram
    Moore, Ernest E.
    Coimbra, Raul
    Kirkpatrick, Andrew W.
    Pereira, Bruno M.
    Montori, Giulia
    Ceresoli, Marco
    Abu-Zidan, Fikri M.
    Sartelli, Massimo
    Velmahos, George
    Fraga, Gustavo Pereira
    Leppaniemi, Ari
    Tolonen, Matti
    Galante, Joseph
    Razek, Tarek
    Maier, Ron
    Bala, Miklosh
    Sakakushev, Boris
    Khokha, Vladimir
    Malbrain, Manu
    Agnoletti, Vanni
    Peitzman, Andrew
    Demetrashvili, Zaza
    Sugrue, Michael
    Di Saverio, Salomone
    Martzi, Ingo
    Soreide, Kjetil
    Biffl, Walter
    Ferrada, Paula
    Parry, Neil
    Montravers, Philippe
    Melotti, Rita Maria
    Salvetti, Francesco
    Valetti, Tino M.
    Scalea, Thomas
    Chiara, Osvaldo
    Cimbanassi, Stefania
    Kashuk, Jeffry L.
    Larrea, Martha
    Martinez Hernandez, Juan Alberto
    Lin, Heng-Fu
    Chirica, Mircea
    Arvieux, Catherine
    Bing, Camilla
    Horer, Tal
    [J]. WORLD JOURNAL OF EMERGENCY SURGERY, 2018, 13
  • [7] den Hartog D, 2008, COCHRANE DB SYST REV, DOI 10.1002/14651858.CD006438.pub2
  • [8] Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome
    Kirkpatrick, Andrew W.
    Roberts, Derek J.
    De Waele, Jan
    Jaeschke, Roman
    Malbrain, Manu L. N. G.
    De Keulenaer, Bart
    Duchesne, Juan
    Bjorck, Martin
    Leppaniemi, Ari
    Ejike, Janeth C.
    Sugrue, Michael
    Cheatham, Michael
    Ivatury, Rao
    Ball, Chad G.
    Blaser, Annika Reintam
    Regli, Adrian
    Balogh, Zsolt J.
    D'Amours, Scott
    Debergh, Dieter
    Kaplan, Mark
    Kimball, Edward
    Olvera, Claudia
    [J]. INTENSIVE CARE MEDICINE, 2013, 39 (07) : 1190 - 1206
  • [9] Usefulness of the bilateral anterior rectus abdominis sheath turnover flap method for early fascial closure in patients requiring open abdominal management
    Kushimoto, Shigeki
    Yamamoto, Yasuhiro
    Aiboshi, Junichi
    Ogawa, Futoshi
    Koido, Yuichi
    Yoshida, Ryusuke
    Kawai, Makato
    [J]. WORLD JOURNAL OF SURGERY, 2007, 31 (01) : 2 - 10
  • [10] Vacuum-assisted wound closure and mesh-mediated fascial traction -: A novel technique for late closure of the open abdomen
    Petersson, Ulf
    Acosta, Stefan
    Bjoerck, Martin
    [J]. WORLD JOURNAL OF SURGERY, 2007, 31 (11) : 2133 - 2137