Abstract:

Application of vacum-assisted closure in open abdomen with enteroatmospheric fistulae：A report of 45 cases             LI Wu-han, ZHAO Yun-zhao, ZHAO Ri-sheng, et al. Research Institute of General Surgery，Clinical School of Medical College of Nanjing University; Department of General Surgery, Nanjing General Hospital of Nanjing Military Command of PLA，Nanjing 210002，China
Corresponding author: ZHAO Yun-zhao, E-mail：yzzhaomd@gmail.com
Abstract    Objective    To investigate the feasibility and therapeutic efficacy of vacum-assisted closure in open abdomen with enteroatmospheric fistulae. Methods    The clinical data of 45 cases of intestinal fistulae and complicated intra-abdominal infection received open abdomen from February 2012 to February 2015 in Department of General Surgery, Nanjing General Hospital of Nanjing Military Command of PLA were analyzed retrospectively. Comparison of the effect of vaccum-assisted closure and polypropylene patch for temporary abdomen closure. Results    Application of vaccum-assisted closure in open abdomen with enteroatmospheric fistulae shorten the time from opening abdomen to skin grafting, the length of stay in ICU and hospital significantly, and increased the rate of primary fascial closure. Conclusion    Vaccum-assisted closure is an effective treatment for open abdomen with enteroatmospheric fistulae.

Key words: open abdomen, enteroatmospheric fistulae, intra-abdominal infection, vacum-assisted closure

摘要：

目的    研究腹腔开放合并肠空气瘘时应用负压辅助关腹（VAC）技术的可行性和对腹腔开放预后的影响。 方法    回顾性分析2012年2月至2015年2月南京军区南京总医院普通外科肠瘘治疗中心收治的45例肠瘘导致严重腹腔感染行腹腔开放治疗病人的临床资料。比较采用负压辅助关腹VAC和聚丙烯补片PPM关腹的治疗效果。结果    腹腔开放合并肠空气瘘时应用VAC技术可以明显缩短从腹腔开放到创面植皮的时间、ICU治疗时间和总住院时间，提高远期筋膜关腹率。结论    VAC技术是腹腔开放合并肠空气瘘的有效处理方式。

关键词: 腹腔开放, 肠空气瘘, 腹腔感染, 负压辅助关腹