Factors Associated with Inability to Perform Delayed Primary Fascial Closure of Open Abdomen in Trauma Patients: a Retrospective Observational Study

2022 ◽  
Author(s):  
Harshit Agarwal ◽  
Dinesh Bagaria ◽  
Sushma Sagar ◽  
Subodh Kumar ◽  
Biplab Mishra ◽  
...  
Keyword(s):  
Observational Study ◽  
Open Abdomen ◽  
Retrospective Observational Study ◽  
Fascial Closure ◽  
Trauma Patients ◽  
Factors Associated ◽  
Primary Fascial Closure

Open Abdomen after Two Trauma Laparotomies: Do Diuretics Help?

2021 ◽  
pp. 000313482110503
Author(s):  
Sigrid Williamson ◽  
Anas Qatanani ◽  
Alison Muller ◽  
Anthony Martin ◽  
Thomas A. Geng ◽  
...  
Keyword(s):  
Fluid Balance ◽  
Retrospective Review ◽  
Open Abdomen ◽  
Fascial Closure ◽  
Trauma Patients ◽  
The Third ◽  
Cumulative Fluid Balance ◽  
Primary Fascial Closure

Data are lacking regarding the use of diuretics in facilitating closure of the open abdomen (OA). For patients with an OA after 2 laparotomies, we hypothesized that diuretic use was associated with a higher rate of primary fascial closure than no diuretic use. A retrospective review of patients with trauma laparotomies over 7 years was performed. Primary fascial closure (PFC) was defined as apposition of fascial edges without interposition mesh. Of 321 patients, 30 (9%) remained with an OA after 2 laparotomies. Prior to the third laparotomy, median cumulative fluid balance was +12.6 L. Thirteen (43%) received diuretics. Primary fascial closure rates were similar for diuretic use vs no diuretic (38% vs 59%, P = .46). Primary fascial closure was not associated with age ( P = .2), gender ( P = 0.7), cumulative fluid balance ( P = .3), or units of packed cells ( P = .4). Diuretic use in trauma patients with an OA after 2 laparotomies was not associated with successful PFC.

scholarly journals Predictors of mortality of trauma patients admitted to the ICU: a retrospective observational study

2020 ◽  
Author(s):  
Matthaios Papadimitriou-Olivgeris ◽  
Eleftheria Panteli ◽  
Kyriaki Koutsileou ◽  
Maria Boulovana ◽  
Anastasia Zotou ◽  
...  
Keyword(s):  
Observational Study ◽  
Retrospective Observational Study ◽  
Trauma Patients ◽  
Predictors Of Mortality

Factors affecting primary fascial closure of the open abdomen in the nontrauma patient

Surgery ◽  
2012 ◽  
Vol 152 (4) ◽  
pp. 777-784 ◽  
Author(s):  
Naeem Goussous ◽  
Brian D. Kim ◽  
Donald H. Jenkins ◽  
Martin D. Zielinski
Keyword(s):  
Open Abdomen ◽  
Fascial Closure ◽  
Factors Affecting ◽  
Primary Fascial Closure
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