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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: Background: 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: 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: Peritonite
Country: Reino Unido
Editor: Springer Nature
Rights: Aberto
Identifier DOI: 10.1186/s13017-017-0123-8
Date Issue: 2017
Appears in Collections:FCM - Artigos e Outros Documentos

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