腹部伤口真空辅助闭合技术的应用：一则警示
The use of vacuum-assisted closure of abdominal wounds: a word of caution.
作者信息
Rao M, Burke D, Finan P J, Sagar P M
机构信息
Department of Colorectal Surgery, Leeds General Infirmary, Leeds, UK.
出版信息
Colorectal Dis. 2007 Mar;9(3):266-8. doi: 10.1111/j.1463-1318.2006.01154.x.
OBJECTIVE
Vacuum-assisted closure (VAC) has been used in our centre to aid the closure of abdominal wounds. The aim of this study was to examine the clinical outcome of patients in whom VAC therapy had been used in conjunction with laparostomy.
METHOD
All patients in whom VAC was used in the management of open abdominal wounds from November 2003 to March 2005 were included in this study.
RESULTS
There were 29 patients in the study. Nineteen (65.5%) needed ICU care. Six (20%) patients developed leakage of small bowel contents into the abdominal wound cavity because of intestinal fistulation during the VAC therapy. Four of the six (66%) died, all from multi-organ failure.
CONCLUSION
Our study has demonstrated a high incidence of intestinal leakage following VAC therapy. The reasons for this are multifactorial. We would recommend caution in using it on patients with bowel anastomoses or enterotomy repairs.
目的
我院采用负压封闭引流（VAC）技术辅助腹部伤口闭合。本研究旨在探讨VAC治疗联合剖腹术患者的临床结局。
方法
纳入2003年11月至2005年3月期间采用VAC治疗开放性腹部伤口的所有患者。
结果
本研究共纳入29例患者。19例（65.5%）需要重症监护病房（ICU）护理。6例（20%）患者在VAC治疗期间因肠瘘导致小肠内容物漏入腹部伤口腔。6例中的4例（66%）死亡，均死于多器官功能衰竭。
结论
我们的研究表明VAC治疗后肠漏发生率较高。原因是多方面的。我们建议对肠吻合术或肠切开修复术患者谨慎使用该技术。
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