Low cost subatmospheric pressure therapy as an alternative to temporary abdominal closure in a public hospital: case report
DOI:
https://doi.org/10.11606/issn.1679-9836.v100i4p417-423Keywords:
Vacuum dressing, Temporary abdominal closure, Open abdomen, Modified Barker’s vacuum-packing techniqueAbstract
The use of subatmospheric pressure through a vacuum dressing in patients with open abdomen is increasingly used for temporary abdominal closure. Vacuum curative can be used as a bridge between the onset of the initial lesion and surgery for definitive closure of the wound, in those cases in which primary fascial closure is not possible. The objective of this work is to present a practical proposal for temporary abdominal closure using vacuum curative with NPWT (modified Barker’s vacuum-packing technique - BVPT), as alternatives to the other techniques. The mechanism of action involves the control of exudate, reduction of perilesional interstitial edema, increased blood flow, stimulation of granulation tissue formation, and wound contraction. The curative presented low costs, easy application and using materials available frequently in most public hospitals. According to the literature, the modified BVPT presents good results and rates of complications similar to the commercial NPWT kits.
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Copyright (c) 2021 Matheus Dantas Gomes Gonçalves, Diego Laurentino Lima, Raquel Nogueira Cordeiro, Fabio Eduardo Revoredo Rabelo Ferreira, Carlos Esdras Almeida Moraes, Márcio Rogério Carneiro Carvallho
This work is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License.
