Publication: Complications & mortality associated with temporary abdominal closure techniques: A systematic review and meta-analysis

Complications & mortality associated with temporary abdominal closure techniques: A systematic review and meta-analysis.
Cristaudo A, Jennings S, Gunnarsson R, De Costa A.
Cairns Australia: General Surgeons Australia - 6th Annual Scientific Meeting – Complex General Surgery; 2015.

Abstract

Introduction:

A systematic review and meta-analysis of temporary abdominal closure (TAC) techniques used in the management of the open abdomen was performed to identify which provided superior results in comparison to negative pressure wound therapy (NPWT) alone.

Methods:

An electronic database search was conducted using the PRISMA guidelines involving PubMed, EMBASE, CENTRAL, CINAHL and Clinicaltrials.gov. Data was analysed per TAC technique in the form of a meta-analysis using MedCalc Statistical Software.

Results:

Two-hundred and twenty-five articles were included. NPWT with continuous fascial traction (NPWT + CFT) was superior to NPWT alone across six of the eight outcomes (Table 1). Subsequent meta-analyses involving only randomised-controlled trials (RCTs) confirmed its superiority for definitive fascial closure (Table 2).

Conclusion:

NPWT with continuous fascial traction is the superior to NPWT alone in the management of the open abdomen.


, from James Cook University
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