Open Abdomen, Temporary Abdominal Closure
Conditions
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
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).
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
Study design
Eligibility
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
| Measure | Time 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
| Measure | Time frame |
|---|---|
| length of vacuum-therapy | until end of vacuum-therapy or death |
| costs of vacuum-therapy | until end of vacuum-therapy or death |
| vacuum-therapy-related morbidity/complications | until 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 stay | 12 weeks post hospital dismissal |
| total length of ICU-stay | until end of ICU-therapy or death |
Countries
Germany