Preventívne vákuové odsávanie ako súčasť uzáveru operačnej rany pri urgentnej operácii hrubého čreva // SOLEN

Slovenská chirurgia 2/2018

Preventive vacuum-assisted closure as a method of incision management in urgent large bowel surgery

Background: Urgent large bowel surgery associated with purulent or fecal peritonitis result in high risk of wound healing complications. Authors investigated an alternative method of incision management, using preventive vacuum assisted closure (VAC). Methods: We compared two equal patient groups, first one consisting of 27 patients with secondary healing of primarily sutured incision, second group consisting of 23 patients with preventive VAC application into incision. Results: In the VAC group average wound healing period was 6 days. I contrast, patients with complicated primarily sutured incision and ongoing secondary healing required on average 21 days for wound healing. Conclusion: Application of preventive vacuum assisted closure in management of high-risk laparotomic incision minimizes risk of secondary wound healing, significantly reduces patients´ discomfort and hospital costs.

Keywords: urgent large bowel surgery, fecal peritonitis, secondary laparotomy healing, preventive vacuum assisted closure