Fascia-to-fascia closure with abdominal topical negative pressure for severe abdominal infections: preliminary results in a department of general surgery and intensive care unit.

Abstract:

BACKGROUND:Vacuum-assisted fascial closure (VAFC-KCI(®)) of an open abdomen is one of the latest methods. METHODS:A prospective observational study was performed with medical records of nine patients who had been treated by abdominal VAFC-KCI(®) from March 2006 to October 2007 in the Department of Surgical Sciences, University of Insubria. The mean Acute Physiology and Chronic Health Evaluation II and Sequential Organ Failure Assessment scores were 22.62 and 10.62, respectively. All patients had abdominal compartment syndrome and a sepsis source that was difficult to control. RESULTS:All patients survived. The mean duration of open abdomen was 22.7 days (range, 3-50 days). Primary fascial closure was possible in six patients (66%), with a closure rate of 100% when early control of the infectious source was possible (Group A) but only 40% in patients with difficult and delayed control of infection (Group B). The mean durations of open abdomen in the two groups were statistically different: 8.5 days for Group A vs. 34.2 days for Group B (p < 0.005; Student t-test). CONCLUSIONS:In our brief experience, VAFC-KCI(®) seems to be associated with a high fascial closure rate. The complexity of the management of abdominal source control has a role in the success of primary fascial closure. The VAFC-KCI(®) system seems to contribute positively in fascia-to-fascia abdominal closure in cases of severe abdominal infection, in particular when early surgical source control is obtained.

journal_name

Surg Infect (Larchmt)

journal_title

Surgical infections

authors

Padalino P,Dionigi G,Minoja G,Carcano G,Rovera F,Boni L,Dionigi R

doi

10.1089/sur.2010.042

subject

Has Abstract

pub_date

2010-12-01 00:00:00

pages

523-8

issue

6

eissn

1096-2964

issn

1557-8674

journal_volume

11

pub_type

杂志文章
  • Can Nasal Methicillin-Resistant Staphylococcus aureus Screening Be Used to Avoid Empiric Vancomycin Use in Intra-Abdominal Infection?

    abstract:BACKGROUND:Vancomycin is used widely as empiric therapy for gram-positive organisms in patients with an intra-abdominal infection (IAI), even in those with no history of methicillin-resistant Staphylococcus aureus (MRSA) infection or colonization. Potential adverse effects of vancomycin include nephrotoxicity, increase...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2014.211

    authors: Hennessy SA,Shah PM,Guidry CA,Davies SW,Hranjec T,Sawyer RG

    更新日期:2015-08-01 00:00:00

  • Surveillance of surgical site infection after cholecystectomy using the hospital in Europe link for infection control through surveillance protocol.

    abstract:BACKGROUND:The third most common healthcare-associated infection is surgical site infection (SSI), accounting for 14%-16% of infections. These SSIs are associated with high morbidity, numerous deaths, and greater cost. METHODS:A prospective study was conducted to assess the incidence of SSI in a single university hosp...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2012.096

    authors: Bogdanic B,Bosnjak Z,Budimir A,Augustin G,Milosevic M,Plecko V,Kalenic S,Fiolic Z,Vanek M

    更新日期:2013-06-01 00:00:00

  • Incidence and Risk Factors Associated with Multi-Drug-Resistant Pathogens in a Critically Ill Trauma Population: A Retrospective Cohort Study.

    abstract:: Background: Multi-drug resistance is considered a serious health threat particularly in the intensive care unit (ICU) setting. Studies evaluating multi-drug-resistant (MDR) pathogens in critically ill trauma patients are limited. The objectives were to describe the inciden...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2019.031

    authors: Cucci M,Wooten C,Fowler M,Mallat A,Hieb N,Mullen C

    更新日期:2020-02-01 00:00:00

  • Rapid adaptation of antibiotic therapy for community-acquired peritonitis using direct cultures on antibiotic agar plates: pilot study.

    abstract:BACKGROUND:Treatment of peritonitis requires prompt surgery and antibiotic therapy. It usually takes two or three days to obtain definitive results of peritoneal cultures and to adapt empirical antibiotic therapy. We assessed the potential time gain associated with direct culture of peritoneal samples on antibiotic aga...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2008.095

    authors: Lasocki S,Skurnik D,Muller-Serieys C,Bronchard R,Marcel C,Marmuse JP,Montravers P,Andremont A

    更新日期:2009-08-01 00:00:00

  • Disseminated Nocardia farcinica: literature review and fatal outcome in an immunocompetent patient.

    abstract:BACKGROUND:Nocardia farcinica is a gram-positive, partially acid-fast, methenamine silver-positive aerobic actinomycete. Nocardia spp. are opportunistic pathogens, and N. farcinica is the least common species of clinical importance. METHODS:Review of the recent literature and description of a immunocompetent patient w...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2011.012

    authors: Budzik JM,Hosseini M,Mackinnon AC Jr,Taxy JB

    更新日期:2012-06-01 00:00:00

  • Analysis of plasma citrulline and intestinal morphometry in mice with hepatosplenic schistosomiasis.

    abstract:BACKGROUND:Portal hypertension in the mucosa of the intestine and the presence of granulomas in the wall of this organ can alter digestive function in patients with schistosomiasis. Citrulline is a potential marker of intestinal function in some diseases that affect the morphometry of the mucosa because of its close as...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2009.066

    authors: Siqueira LT,Ferraz AA,Campos JM,De Lima Filho JL,Albuquerque MC,de Lima Aires A,Ribeiro MH,Cavalcanti MT,De Lima B Cavalcanti C,Ferraz EM

    更新日期:2010-10-01 00:00:00

  • Invasive mucormycosis and aspergillosis in a healthy 22-year-old battle casualty: case report.

    abstract:BACKGROUND:Invasive mucormycosis or aspergillosis is a life-threatening infection. The disease typically occurs in immunocompromised patients (e.g., those with diabetes mellitus or burns) but is rarely serious in otherwise-healthy young trauma patients. METHODS:Case report and literature review. RESULTS:A previously-...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2010.065

    authors: Radowsky JS,Strawn AA,Sherwood J,Braden A,Liston W

    更新日期:2011-10-01 00:00:00

  • Comprehensive Approach to Reduce Surgical Site Infections in Patients Undergoing Neurosurgical Procedures.

    abstract:: Background: Surgical site infections (SSIs) are recognized complications of surgical procedures. Methicillin-resistant Staphylococcus aureus (MRSA) colonization increases the likelihood of developing SSIs. Decolonization of MRSA has been shown to reduce post-operative SSIs...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2020.020

    authors: Nusair AR,El Nekidy WS,Reynolds L,Evans D,El-Lababidi R,Alatoom A

    更新日期:2020-05-04 00:00:00

  • History of Urinary Retention Is a Risk Factor for Infection after Prostate Biopsy: A Nationwide, Population-Based Cohort Study.

    abstract:BACKGROUND AND AIM:Infection or bleeding after transrectal prostate biopsy remains a concern of both patients and urologists. We explored the risk of association of certain co-morbidities with both complications. PATIENTS AND METHODS:Using the Taiwan National Health Insurance Research Database, we identified patients ...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2018.174

    authors: Lin SL,Lin CT,Huang WT,Jou YC,Tzai TS,Tsai YS

    更新日期:2019-04-01 00:00:00

  • Spread of Hand Infection According to the Site of Entry and Its Impact on Treatment Decisions.

    abstract:: Background: Hand infections can spread quickly and destroy functional structures. Early diagnosis and adequate therapy can prevent severe morbidities. The aim of this study was to evaluate systematically the spread of hand infections according to injury mechanism, pathogen...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2020.035

    authors: Dastagir K,Vehling M,Könneker S,Bingoel AS,Kaltenborn A,Jokuszies A,Vogt PM

    更新日期:2020-07-28 00:00:00

  • Vancomycin versus linezolid in the treatment of methicillin-resistant Staphylococcus aureus meningitis.

    abstract:BACKGROUND:Vancomycin is the mainstay of treatment for methicillin-resistant Staphylococcus aureus (MRSA) meningitis. However, successful outcomes with linezolid have not been reported in a large series of patients. We conducted a single-center retrospective cohort study to compare vancomycin with linezolid in the trea...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2012.091

    authors: Sipahi OR,Bardak-Ozcem S,Turhan T,Arda B,Ruksen M,Pullukcu H,Aydemir S,Dalbasti T,Yurtseven T,Sipahi H,Zileli M,Ulusoy S

    更新日期:2013-08-01 00:00:00

  • Open fractures: it doesn't come out in the wash.

    abstract:BACKGROUND:Six hours from injury to washout is considered the gold standard in the treatment of open traumatic fractures. Despite this being our hospital policy, the rural nature of our Level I trauma center causes delays in discovery and transport, creating a unique randomization of time to washout. We hypothesized th...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2010.075

    authors: Schlitzkus LL,Goettler CE,Waibel BH,Sagraves SG,Hasty CC,Edwards M,Rotondo MF

    更新日期:2011-10-01 00:00:00

  • Basic aspects of and general problems in surgical infections.

    abstract::Antibiotics are important in the prophylaxis and treatment of surgical infections as well as in the management of nosocomial infections acquired postoperatively in surgical patients. Surgeons encounter a range of infectious conditions, including established single-pathogen infections of soft tissues, polymicrobial int...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2001.2.s1-3

    authors: Fry DE

    更新日期:2001-01-01 00:00:00

  • Surgery for appendicitis: is it necessary?

    abstract:BACKGROUND:Appendectomy for acute appendicitis is an effective, universally accepted procedure performed more than 300,000 times annually in the United States. It is generally believed that appendicitis progresses invariably from early inflammation to later gangrene and perforation, and that appendectomy is required fo...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2007.079

    authors: Mason RJ

    更新日期:2008-08-01 00:00:00

  • Patients at High-Risk for Surgical Site Infection.

    abstract:BACKGROUND:Surgical site infections (SSIs) are a significant healthcare quality issue, resulting in increased morbidity, disability, length of stay, resource utilization, and costs. Identification of high-risk patients may improve pre-operative counseling, inform resource utilization, and allow modifications in peri-op...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2017.058

    authors: Mueck KM,Kao LS

    更新日期:2017-05-01 00:00:00

  • Effects of human immunodeficiency virus status on trauma outcomes: a review of the national trauma database.

    abstract:BACKGROUND:The prevalence of human immunodeficiency virus (HIV) is disproportionately elevated in trauma patients. Although HIV traditionally has been associated with poorer outcomes among the critically ill, recent evidence suggests that the outcomes of surgical patients have improved with the greater use of antiretro...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2008.050

    authors: Morrison CA,Wyatt MM,Carrick MM

    更新日期:2010-02-01 00:00:00

  • A prospective evaluation of the use of emergency department computed tomography for suspected acute appendicitis.

    abstract:BACKGROUND:Computed tomography (CT) is used increasingly to evaluate suspected cases of acute appendicitis (AA) in the emergency department (ED). This prospective study was performed to test the hypothesis that the evaluation of AA by CT in the ED remains suboptimal and that erroneous interpretation diminishes its util...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/109629601317202687

    authors: Maluccio MA,Covey AM,Weyant MJ,Eachempati SR,Hydo LJ,Barie PS

    更新日期:2001-10-01 00:00:00

  • Infectious Complications after Cytoreductive Surgery and Hyperthermic Intra-Peritoneal Chemotherapy.

    abstract:BACKGROUND:The aim of this study was to review the post-operative and infectious complications and determine the risk factors associated with infections in cytoreductive surgery (CRS) and hyperthermic intra-peritoneal chemotherapy (HIPEC). PATIENTS AND METHODS:Between October 2007 and December 2013, patients who under...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2016.102

    authors: Arslan NC,Sokmen S,Avkan-Oguz V,Obuz F,Canda AE,Terzi C,Fuzun M

    更新日期:2017-02-01 00:00:00

  • Reflections on the Complexity of Surgical Site Infection Prevention and Detection from an Organizational Lens.

    abstract:: Background: Within the United States, surgical site infections (SSIs) have now become the most common hospital-acquired infection and impact 2%-5% of all surgical patients. It is estimated that approximately 60% of SSIs could be prevented through improved adherence to pre-...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2019.135

    authors: Collins CR,Wick EC

    更新日期:2019-10-01 00:00:00

  • Relevance and utility of peritoneal cultures in patients with peritonitis.

    abstract:BACKGROUND:The pathogenic organisms responsible for the manifestations of secondary peritonitis have been well characterized through almost 30 years of experimental and clinical studies. Enteric gram-negative organisms and anaerobes predominate, with Escherichia coli and Bacteroides fragilis, respectively, being the mo...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/109629601750469474

    authors: Nathens AB

    更新日期:2001-07-01 00:00:00

  • Relation between Sarcopenia and Surgical Site Infection in Patients Undergoing Gastric Cancer Surgery.

    abstract:: Background: Sarcopenia is a syndrome that can have negative consequences after gastric cancer (GC) surgery. This study aims to determine the effect of sarcopenia on surgical site infection (SSI) that develops after open GC surgery. Patients and Met...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2020.211

    authors: Olmez T,Gulmez S,Karakose E,Ofluoglu CB,Senger AS,Bozkurt H,Duman M,Polat E

    更新日期:2020-11-11 00:00:00

  • Active hexose correlated compound (AHCC) enhances resistance to infection in a mouse model of surgical wound infection.

    abstract:BACKGROUND:Infection is the most common postoperative complication within the surgical wound and during severe trauma. In spite of the use of modern sterile techniques and prophylaxis, infection continues to be a leading cause of death in these patients. Therefore, it has become crucial to develop new alternatives to p...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2006.7.527

    authors: Aviles H,O'Donnell P,Sun B,Sonnenfeld G

    更新日期:2006-12-01 00:00:00

  • Antimicrobial Activity of Ceftaroline Tested against Staphylococcus aureus from Surgical Skin and Skin Structure Infections in US Medical Centers.

    abstract:BACKGROUND:Ceftaroline fosamil is a novel cephalosporin approved by the United States Food and Drug Administration (US FDA) for treatment of acute bacterial skin and skin structure infection, including those caused by methicillin-resistant Staphylococcus aureus (MRSA). We evaluated the activity of ceftaroline and compa...

    journal_title:Surgical infections

    pub_type: 杂志文章,多中心研究

    doi:10.1089/sur.2015.209

    authors: Sader HS,Farrell DJ,Flamm RK,Jones RN

    更新日期:2016-08-01 00:00:00

  • Efficacy and Safety of Ultrapure Alginate-Based Anti-Adhesion Gel in Experimental Peritonitis.

    abstract:BACKGROUND:Intra-abdominal infection may lead to adhesion and abscess formation. An adhesion barrier can reduce these complications but also aggravate intra-peritoneal infection, causing the opposite effects. The fear of infection propagation has limited clinical adhesion barrier use in a contaminated or infected abdom...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2014.111

    authors: Chaturvedi AA,Buyne OR,Lomme RM,Hendriks T,Van Goor H

    更新日期:2015-08-01 00:00:00

  • New strategies to improve outcomes in the surgical intensive care unit.

    abstract:BACKGROUND:Over the last half-decade, substantial breakthroughs have taken place in terms of routine therapy of critically ill patients. The combination of these strategies has the potential to result in improvement in the overall outcomes for patients in intensive care units. METHODS:A focused review was undertaken o...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2004.5.289

    authors: Beilman GJ

    更新日期:2004-10-01 00:00:00

  • Literature-based evaluation of the potential risks associated with impregnation of medical devices and implants with triclosan.

    abstract:BACKGROUND:This report is a review of the published literature for studies of triclosan that address mechanism of action, efficacy on skin and in the oral cavity, and the potential for development of resistance. METHODS:Triclosan citations from the past three decades were searched using Medline and other search engine...

    journal_title:Surgical infections

    pub_type: 杂志文章,评审

    doi:10.1089/sur.2002.3.s1-55

    authors: Gilbert P,McBain AJ

    更新日期:2002-01-01 00:00:00

  • Perioperative management of patients undergoing elective colorectal surgery in Israel: a national survey.

    abstract:BACKGROUND:The approach to perioperative antibiotic prophylaxis, bowel preparation, and postoperative routines in elective colorectal resections has changed over the last two decades. The aim of this national survey was to document the current methods of perioperative management of those patients scheduled for elective...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2005.6.305

    authors: Shpitz B,Reissman P,Rabau M,Ziv Y

    更新日期:2005-10-01 00:00:00

  • Current Pneumonia Surveillance Methodology: Similar Underestimation in Trauma and Surgical Patients in the Intensive Care Unit.

    abstract:BACKGROUND:In 2013, the Centers for Disease Control and Prevention (CDC) developed new surveillance definitions for ventilator-associated events (VAE), leading to concerns that hospitals may be underreporting the true incidence of ventilator-associated pneumonias (VAPs). We sought to compare rates of clinically diagnos...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2016.152

    authors: Zosa BM,Golob JF,Conrad-Schnetz KJ,Schechtman D,Kreiner LA,Claridge JA

    更新日期:2017-07-01 00:00:00

  • Incidence of postoperative infections in non-immunocompromised pediatric patients with low absolute neutrophil counts preoperatively.

    abstract:PURPOSE:To discover the incidence of postoperative surgical site infections in non-immunocompromised pediatric patients with an absolute neutrophil count (ANC) < or = 1,000 preoperatively. METHODS:Office and hospital charts of consecutive patients with preoperative ANC < or = 1,000 undergoing elective surgery over a t...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2006.085

    authors: Taylor GS,Cartwright PC,Snow BW

    更新日期:2008-04-01 00:00:00

  • Impact of Multi-Drug-Resistant Pneumonia on Outcomes of Critically Ill Trauma Patients.

    abstract:: Background: Rates of infections with multi-drug-resistant organisms (MDROs) are increasing among critically ill patients. Among non-surgical patients, MDROs increase directly the risk of adverse secondary events including death. However, similar effects do not appear to oc...

    journal_title:Surgical infections

    pub_type: 杂志文章

    doi:10.1089/sur.2019.240

    authors: Rai I,Stephen AH,Lu Q,Heffernan DS

    更新日期:2020-06-01 00:00:00