PDF(Pubmed)
Abstract：
UNASSIGNED: This study aimed to compare open abdominal management (OAM) between visible negative pressure wound therapy (NPWT) and commercial NPWT to determine whether NPWT can detect intestinal ischemia in its early stages without causing complications or worsening prognosis, and to determine whether the actual visualization results in early detection.
UNASSIGNED: Patients were divided into two groups: those who underwent OAM with visible NPWT (A: 32 patients) and those who underwent OAM with commercial NPWT (B: 12 patients). We compared background factors, disease severity, vital signs, blood test values, and 28-day outcomes between the two groups. We also checked the records to determine how many visualized cases were detected early and operated on. We then examined the weaknesses of this method.
UNASSIGNED: No differences were observed in the background factors or disease severity between the two groups. The duration of the open abdomen and intensive care unit stay were significantly shorter for group A than for group B. The groups showed no significant differences in lactate levels, 28-day outcomes, complications during OAM, or other factors. After a review of the medical records, ischemic progression was detected early, and surgery could be performed in seven cases in the visible NPWT group. The progression of ischemia was confirmed at the time of the second-look operation in two cases in the ascending colon.
UNASSIGNED: The visualization device allowed us to gain insights into the intra-abdominal cavity and determine the appropriate time for closing the abdomen without worsening the prognosis.
UNASSIGNED: Patients were divided into two groups: those who underwent OAM with visible NPWT (A: 32 patients) and those who underwent OAM with commercial NPWT (B: 12 patients). We compared background factors, disease severity, vital signs, blood test values, and 28-day outcomes between the two groups. We also checked the records to determine how many visualized cases were detected early and operated on. We then examined the weaknesses of this method.
UNASSIGNED: No differences were observed in the background factors or disease severity between the two groups. The duration of the open abdomen and intensive care unit stay were significantly shorter for group A than for group B. The groups showed no significant differences in lactate levels, 28-day outcomes, complications during OAM, or other factors. After a review of the medical records, ischemic progression was detected early, and surgery could be performed in seven cases in the visible NPWT group. The progression of ischemia was confirmed at the time of the second-look operation in two cases in the ascending colon.
UNASSIGNED: The visualization device allowed us to gain insights into the intra-abdominal cavity and determine the appropriate time for closing the abdomen without worsening the prognosis.
摘要：
■本研究旨在比较可见负压伤口治疗（NPWT）和商业NPWT之间的开放式腹部管理（OAM），以确定NPWT是否可以在早期检测肠缺血而不会引起并发症或恶化预后。并确定实际可视化是否会导致早期检测。
■患者分为两组：那些接受OAM并伴有可见NPWT的患者（A：32例）和那些接受OAM并伴有商业NPWT的患者（B：12例）。我们比较了背景因素，疾病严重程度,生命体征,验血值,两组之间的28天结果。我们还检查了记录，以确定早期发现并进行手术的可视化病例数量。然后我们研究了这种方法的弱点。
■两组之间的背景因素或疾病严重程度无差异。A组开腹时间和重症监护病房住院时间明显短于B组,各组乳酸水平无显著差异,28天结果，OAM期间的并发症，或其他因素。在检查了病历后,早期发现缺血进展，可见NPWT组中7例可以进行手术。在升结肠的两个病例中，在第二次手术时证实了缺血的进展。
■可视化设备使我们能够深入了解腹腔，并确定闭合腹部的适当时间，而不会使预后恶化。
■患者分为两组：那些接受OAM并伴有可见NPWT的患者（A：32例）和那些接受OAM并伴有商业NPWT的患者（B：12例）。我们比较了背景因素，疾病严重程度,生命体征,验血值,两组之间的28天结果。我们还检查了记录，以确定早期发现并进行手术的可视化病例数量。然后我们研究了这种方法的弱点。
■两组之间的背景因素或疾病严重程度无差异。A组开腹时间和重症监护病房住院时间明显短于B组,各组乳酸水平无显著差异,28天结果，OAM期间的并发症，或其他因素。在检查了病历后,早期发现缺血进展，可见NPWT组中7例可以进行手术。在升结肠的两个病例中，在第二次手术时证实了缺血的进展。
■可视化设备使我们能够深入了解腹腔，并确定闭合腹部的适当时间，而不会使预后恶化。
