Please use this identifier to cite or link to this item: http://repositorio.unicamp.br/jspui/handle/REPOSIP/328289
Type: Artigo
Title: Iroa: International Register Of Open Abdomen, Preliminary Results
Author: Coccolini
Federico; Montori
Giulia; Ceresoli
Marco; Catena
Fausto; Ivatury
Rao; Sugrue
Michael; Sartelli
Massimo; Fugazzola
Paola; Corbella
Davide; Salvetti
Francesco; Negoi
Ionut; Zese
Monica; Occhionorelli
Savino; Maccatrozzo
Stefano; Shlyapnikov
Sergei; Galatioto
Christian; Chiarugi
Massimo; Demetrashvili
Zaza; Dondossola
Daniele; Yovtchev
Yovcho; Ioannidis
Orestis; Novelli
Giuseppe; Nacoti
Mirco; Khor
Desmond; Inaba
Kenji; Demetriades
Demetrios; Kaussen
Torsten; Jusoh
Asri Che; Ghannam
Wagih; Sakakushev
Boris; Guetta
Ohad; Dogjani
Agron; Costa
Stefano; Singh
Sandeep; Damaskos
Dimitrios; Isik
Arda; Yuan
Kuo-Ching; Trotta
Francesco; Rausei
Stefano; Martinez-Perez
Aleix; Bellanova
Giovanni; Fonseca
Vinicius Cordeiro; Hernandez
Fernando; Marinis
Athanasios; Fernandes
Wellington; Quiodettis
Martha; Bala
Miklosh; Vereczkei
Andras; Curado
Rafael L.; Fraga
Gustavo Pereira; Pereira
Bruno M.; Gachabayov
Mahir; Perez Chagerben
Guillermo; Leon Arellano
Miguel; Ozyazici
Sefa; Costa
Gianluca; Tezcaner
Tugan; Ansaloni
Luca
Abstract: No definitive data about open abdomen (OA) epidemiology and outcomes exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) promoted the International Register of Open Abdomen (IROA). Methods: A prospective observational cohort study including patients with an OA treatment. Data were recorded on a web platform (Clinical Registers (R)) through a dedicated website: www.clinicalregisters.org. Results: Four hundred two patients enrolled. Adult patients: 369 patients; Mean age: 57.39 +/- 18.37; 56% male; Mean BMI: 36 +/- 5.6. OA indication: Peritonitis (48.7%), Trauma (20.5%), Vascular Emergencies/Hemorrhage (9.4%), Ischemia (9.1%), Pancreatitis (4.2%), Post-operative abdominal-compartment-syndrome (3.9%), Others (4.2%). The most adopted Temporary-abdominal-closure systems were the commercial negative pressure ones (44.2%). During OA 38% of patients had complications; among them 10.5% had fistula. Definitive closure: 82.8%; Mortality during treatment: 17.2%. Mean duration of OA: 5.39(+/- 4.83) days; Mean number of dressing changes: 0.88(+/- 0.88). After-closure complications: (49.5%) and Mortality: (9%). No significant associations among TACT, indications, mortality, complications and fistula. A linear correlationexists between days of OA and complications (Pearson linear correlation = 0.326 p<0.0001) and with the fistula development (Pearson = 0.146 p = 0.016). Pediatric patients: 33 patients. Mean age: 5.91 +/-(3.68) years; 60% male. Mortality: 3.4%; Complications: 44.8%; Fistula: 3.4%. Mean duration of OA: 3.22(+/- 3.09) days. Conclusion: Temporary abdominal closure is reliable and safe. The different techniques account for different results according to the different indications. In peritonitis commercial negative pressure temporary closure seems to improve results. In trauma skin-closure and Bogota-bag seem to improve results.
Subject: Open Abdomen
Iroa
Register
Peritonitis
Trauma
Ischemia
Vascular Emergencies
Compartment
Negative Pressure
Commercial
Non-commercial
Bogota Bag
Witmann
Skin
Barker
Editor: Biomed Central Ltd
London
Citation: World Journal Of Emergency Surgery. Biomed Central Ltd, v. 12, p. , 2017.
Rights: aberto
Identifier DOI: 10.1186/s13017-017-0123-8
Address: https://wjes.biomedcentral.com.ez88.periodicos.capes.gov.br/articles/10.1186/s13017-017-0123-8
Date Issue: 2017
Appears in Collections:Unicamp - Artigos e Outros Documentos

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