Estudo de cado

829 palavras 4 páginas
abdomen?
Take control early.
ABThera™ Open Abdomen Negative Pressure Therapy System – can help you achieve primary fascial closure.
From KCI – the makers of V.A.C. Therapy
®

Faced with the pressure of managing an

open

The goal of open abdomen procedures is trending toward achieving primary fascial closure. However, patient management is challenging.
• Awareness of intra-abdominal hypertension, abdominal compartment syndrome and abdominal infections has led to increased frequency of open abdomen procedures. Leaving the abdomen open has been shown to increase survival.1,2 • Cost savings and better quality of life outcomes are shifting the treatment paradigm toward achieving primary closure during the same admission versus the traditional goal of a planned hernia with reconstruction.3 • Nevertheless, the management of these open abdomen patients to achieve primary fascial closure can pose significant challenges:1 - Active management and removal of peritoneal fluid - Preservation of fascial integrity and prevention of fascial retraction - Containment and protection of the abdominal contents - Prolonged exposure to environment, resulting in high complication rates, including infection, sepsis and fistula formation
Kaplan M, Banwell P, Orgill DP, Ivatury RR, Demetriades D, Moore FA, Miller P, Nicholas J, Henry S. Guidelines for the Management of the Open Abdomen. WOUNDS. 2005 Oct;17(Suppl 1):S1 S24. 2 Cheatham ML, White MW, Sagraves SG, Johnson JL, Block EF (2000) Abdominal perfusion pressure: a superior parameter in the assessment of intra-abdominal hypertension. J Trauma. 2000 Oct;49:621–626. 3 Schecter WP, Ivatury RR, Rotondo MF, Hirshberg A. Open abdomen after trauma and abdominal sepsis: a strategy for management. J Am Coll Surg. 2007 Jan;204(1):190-1.
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ABThera™ Open Abdomen Negative Pressure Therapy System
A Temporary Abdominal Closure system that helps you take control early when managing a challenging open abdomen and achieve primary fascial

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