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Randomized Pilot Study Comparing Two Vacuum-wound-dressings for Open Abdomen Treatment

Vacuum-Therapy in Open Abdomen Treatment - Randomized Pilot-trial Comparing Fascial Closure and Survival With Vacuum-Pack-Technique vs. Abdominal Dressing

Status
Terminated
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00834314
Acronym
ABDOVAC
Enrollment
3
Registered
2009-02-03
Start date
2010-02-28
Completion date
2014-05-31
Last updated
2015-12-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Open Abdomen, Temporary Abdominal Closure

Brief summary

The primary purpose of the study is to determine whether two vacuum-wound-dressing techniques (the so called abdominal dressing versus vacuum-pack-technique) are equally effective in the treatment of open abdomen. Secondary purpose is the comparison of feasibility and economic aspects.

Interventions

PROCEDUREVacuum-Pack-technique for temporary abdominal closure

Negative-pressure-wound-therapy applying a method described by Brock, Barker et al 1995: Temporary Closure of Open Abdominal Wounds - the Vacuum Pack (see citations).

PROCEDUREAbdominal-dressing-technique for temporary abdominal closure

Negative-pressure-wound-therapy for temporary abdominal closure applying a device of KCI International (V.A.C.® Abdominal Dressing System). see: http://www.kci-medical.com/kci/corporate/kcitherapies/vactherapy/dressings/abdominal/#

Sponsors

German Research Foundation
CollaboratorOTHER
Universitätsmedizin Mannheim
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* Patients indicated for open-abdomen-treatment by responsible consultant surgeon where vacuum-technique is judged technically possible

Exclusion criteria

* Technical reasons * unjustified risk-benefit-ratio of manipulations necessary for application of vacuum-pack-technique or abdominal-dressing-technique

Design outcomes

Primary

MeasureTime frame
Failure of delayed abdominal fascial closure (non-prevented ventral hernia) and/or in-hospital-death of any cause (combined primary outcome)until end of vacuum-therapy or death

Secondary

MeasureTime frame
length of vacuum-therapyuntil end of vacuum-therapy or death
costs of vacuum-therapyuntil end of vacuum-therapy or death
vacuum-therapy-related morbidity/complicationsuntil hospital dismissal or death
post-dismissal health-related quality of life (SF36 and EQ-5D questionnaire)12 weeks after hospital dismissal
recurrent hernia/abdominal wall dehiscence after initial facial closure during hospital stay12 weeks post hospital dismissal
total length of ICU-stayuntil end of ICU-therapy or death

Countries

Germany

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026