LINK Scientific Content – Congress Abstract

Pressure distribution during negative pressure wound therapy in experimental abdominal compartment syndrome

Scientific Content

Pressure distribution during negative pressure wound therapy in experimental abdominal compartment syndrome

Type
Congress Abstract
Topics
NPWT
Language
EN
Publication Year
2017
Author(s)
Adrienn Csiszkó et al.
Approx. reading time
5 min (1 pages)

Aim

Negative pressure wound therapy (NPWT) is a frequently applied open abdomen (OA) treatment. There are only a few experimental data supporting this method and describing the optimal settings and pressure distribution in the abdominal cavity during this procedure. The aim of our study was to evaluate pressure values at different points of the abdominal cavity during NPWT in experimental abdominal compartment syndrome (ACS) animal model.

Methods

In this study (permission Nr. 13/2014/UDCAR) 27 Hungahib pigs (15.4- 20.2 kg) were operated. ACS was generated by implanting a silastic bag in the abdomen through mini-laparotomy and filled with 2100- 3300 ml saline solution (37 C°) to an intraabdominal pressure (IAP) of 30 mmHg. After 3 hours, NPWT (Vivano Med® Abdominal Kit, Paul Hartmann AG, Germany) or Bogota bag was applied. NPWT group was divided into -50, -100 and 150 mmHg suction group. Pressure distribution to the abdominal cavity was monitored at 6 different points of the abdomen via a multichannel pressure monitoring system.

Results

The absolute pressure levels were significantly higher above than below the layer. The values of the pressure were similar in the midline than laterally. Amongst the bowels the pressure values changed periodically between 0 and -12 mmHg which might be caused by the peristaltic movements.

Conclusion

The porcine model of the present study seems to be well applicable for investigating ACS and NPWT. It was possible to provide valuable data for clinicians. The pressure was well distributed by the protective layer to the lateral parts of the abdomen and this phenomenon did not change considerably during the therapy.

Clinical relevance

The porcine model of the present study seems to be well applicable for investigating ACS and NPWT. It was possible to provide valuable data for clinicians.

Acknowledgements

Hartmann GMBH for financial and technical support

Conflict of Interest

There is conflict of interest about this study

Authors

Adrienn Csiszkó et al.
Medical and Health Science Center, Institute of Surgery, Debrecen, Hungary, Faculty of Informatics, Department of Information

References

  • Kirkpatrick AW, Roberts DJ, Jaeschke R, De Waele JJ, De Keulenaer BL, Duchesne J, Bjorck M, Leppäniemi A, Ejike JC, Sugrue M, Cheatham ML, Ivatury R, Ball CG, Reintam Blaser A, Regli A, Balogh Z, D'Amours S, De Laet I, Malbrain ML: Methodological background and strategy for the 2012-2013 updated consensus definitions and clinical practice guidelines from the abdominal compartment society. Anaesthesiol Intensive Ther. 2015;47:s63-77.
  • Coccolini F, Biffl W, Catena F, Ceresoli M, Chiara O, Cimbanassi S, Fattori L, Leppaniemi A, Manfredi R, Montori G, Pesenti G, Sugrue M, Ansaloni L: The open abdomen, indications, management and definitive closure. World J Emerg Surg. 2015;10:32.
  • Demetriades D, Salim A: Management of the open abdomen. Surg Clin North Am. 2014 Feb;94(1):131-53.
  • Atema JJ, Gans SL, Boermeester MA: Systematic review and meta-analysis of the open abdomen and temporary abdominal closure techniques in non-trauma patients. World J Surg. 2015;39(4):912-25.

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