Management of Open Abdomen After Trauma Laparotomy: A Comparative Analysis of Dynamic Fascial Traction and Negative Pressure Wound Therapy Systems View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2019-09-10

AUTHORS

Yifan Wang, Abdulaziz Alnumay, Tiffany Paradis, Andrew Beckett, Paola Fata, Kosar Khwaja, Tarek Razek, Jeremy Grushka, Dan L. Deckelbaum

ABSTRACT

BackgroundManagement of the post-traumatic open abdomen (OA) using negative pressure wound therapy (NPWT) alone is associated with low rates of primary fascial closure. The abdominal reapproximation anchor (ABRA) system exerts dynamic medial fascial traction and may work synergistically with NPWT to facilitate primary fascial closure.MethodsPatients with an OA following trauma laparotomy between 2009 and 2018 were identified from a prospectively maintained institutional database. Patients treated with ABRA in conjunction with NPWT (ABRA) versus NPWT alone (NPWT) were compared in terms of primary fascial closure rate, number of surgeries to closure, tracheostomy duration, length of stay and incidence of entero-atmospheric fistula. Multivariable linear regression was performed to identify predictors of tracheostomy duration.ResultsWe identified 48 patients [ABRA, 12 and NPWT, 36]. The ABRA group was significantly younger (25 vs. 37 years, p = 0.027) and included a lower proportion of males (58% vs. 89%, p = 0.032). Groups were similar with respect to the incidence of hollow viscus injury, injury severity score and abdominal abbreviated injury score. Compared to the NPWT group, the ABRA group had a significantly higher rate of primary fascial closure (100% vs. 28%, p < 0.001), fewer surgeries to abdominal closure (2 vs. 2.5, p = 0.023) and shorter duration of tracheostomy (15.5 vs. 36 days, p = 0.008). There were no differences in length of stay or incidence of entero-atmospheric fistula. On multivariable linear regression, ABRA placement was an independent predictor of shorter tracheostomy duration, after adjusting for covariates (β = − 0.294, p = 0.036).ConclusionFor the post-traumatic OA, ABRA coupled with NPWT achieves a higher rate of primary fascial closure compared to NPWT alone, while requiring fewer surgeries and a shorter duration of tracheostomy. More... »

PAGES

3044-3050

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00268-019-05166-w

DOI

http://dx.doi.org/10.1007/s00268-019-05166-w

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1120965670

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/31506714


Indexing Status Check whether this publication has been indexed by Scopus and Web Of Science using the SN Indexing Status Tool
Incoming Citations Browse incoming citations for this publication using opencitations.net

JSON-LD is the canonical representation for SciGraph data.

TIP: You can open this SciGraph record using an external JSON-LD service: JSON-LD Playground Google SDTT

[
  {
    "@context": "https://springernature.github.io/scigraph/jsonld/sgcontext.json", 
    "about": [
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/11", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Medical and Health Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "id": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/1103", 
        "inDefinedTermSet": "http://purl.org/au-research/vocabulary/anzsrc-for/2008/", 
        "name": "Clinical Sciences", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Abdominal Cavity", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Abdominal Injuries", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Abdominal Wound Closure Techniques", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adolescent", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Adult", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Fasciotomy", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Female", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Humans", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Intestinal Fistula", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Length of Stay", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Male", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Middle Aged", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Negative-Pressure Wound Therapy", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Postoperative Complications", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Prospective Studies", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Time Factors", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Traction", 
        "type": "DefinedTerm"
      }, 
      {
        "inDefinedTermSet": "https://www.nlm.nih.gov/mesh/", 
        "name": "Young Adult", 
        "type": "DefinedTerm"
      }
    ], 
    "author": [
      {
        "affiliation": {
          "alternateName": "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Wang", 
        "givenName": "Yifan", 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Alnumay", 
        "givenName": "Abdulaziz", 
        "id": "sg:person.010205273635.73", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010205273635.73"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Paradis", 
        "givenName": "Tiffany", 
        "id": "sg:person.015536744655.01", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.015536744655.01"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Beckett", 
        "givenName": "Andrew", 
        "id": "sg:person.01015314377.70", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01015314377.70"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Fata", 
        "givenName": "Paola", 
        "id": "sg:person.01324046740.52", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01324046740.52"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Khwaja", 
        "givenName": "Kosar", 
        "id": "sg:person.01051400466.56", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01051400466.56"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Centre for Global Surgery, McGill University, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.14709.3b", 
          "name": [
            "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada", 
            "Centre for Global Surgery, McGill University, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Razek", 
        "givenName": "Tarek", 
        "id": "sg:person.0626447117.27", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0626447117.27"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.63984.30", 
          "name": [
            "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Grushka", 
        "givenName": "Jeremy", 
        "id": "sg:person.01340474224.05", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01340474224.05"
        ], 
        "type": "Person"
      }, 
      {
        "affiliation": {
          "alternateName": "Centre for Global Surgery, McGill University, Montreal, QC, Canada", 
          "id": "http://www.grid.ac/institutes/grid.14709.3b", 
          "name": [
            "Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada", 
            "Centre for Global Surgery, McGill University, Montreal, QC, Canada"
          ], 
          "type": "Organization"
        }, 
        "familyName": "Deckelbaum", 
        "givenName": "Dan L.", 
        "id": "sg:person.01066513025.27", 
        "sameAs": [
          "https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01066513025.27"
        ], 
        "type": "Person"
      }
    ], 
    "citation": [
      {
        "id": "sg:pub.10.1186/s13017-017-0123-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1083881823", 
          "https://doi.org/10.1186/s13017-017-0123-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00268-011-1210-8", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1040994963", 
          "https://doi.org/10.1007/s00268-011-1210-8"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s10029-014-1253-5", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1032746403", 
          "https://doi.org/10.1007/s10029-014-1253-5"
        ], 
        "type": "CreativeWork"
      }, 
      {
        "id": "sg:pub.10.1007/s00268-013-2080-z", 
        "sameAs": [
          "https://app.dimensions.ai/details/publication/pub.1044013694", 
          "https://doi.org/10.1007/s00268-013-2080-z"
        ], 
        "type": "CreativeWork"
      }
    ], 
    "datePublished": "2019-09-10", 
    "datePublishedReg": "2019-09-10", 
    "description": "BackgroundManagement of the post-traumatic open abdomen (OA) using negative pressure wound therapy (NPWT) alone is associated with low rates of primary fascial closure. The abdominal reapproximation anchor (ABRA) system exerts dynamic medial fascial traction and may work synergistically with NPWT to facilitate primary fascial closure.MethodsPatients with an OA following trauma laparotomy between 2009 and 2018 were identified from a prospectively maintained institutional database. Patients treated with ABRA in conjunction with NPWT (ABRA) versus NPWT alone (NPWT) were compared in terms of primary fascial closure rate, number of surgeries to closure, tracheostomy duration, length of stay and incidence of entero-atmospheric fistula. Multivariable linear regression was performed to identify predictors of tracheostomy duration.ResultsWe identified 48 patients [ABRA, 12 and NPWT, 36]. The ABRA group was significantly younger (25 vs. 37\u00a0years, p\u2009=\u20090.027) and included a lower proportion of males (58% vs. 89%, p\u2009=\u20090.032). Groups were similar with respect to the incidence of hollow viscus injury, injury severity score and abdominal abbreviated injury score. Compared to the NPWT group, the ABRA group had a significantly higher rate of primary fascial closure (100% vs. 28%, p\u2009<\u20090.001), fewer surgeries to abdominal closure (2 vs. 2.5, p\u2009=\u20090.023) and shorter duration of tracheostomy (15.5 vs. 36\u00a0days, p\u2009=\u20090.008). There were no differences in length of stay or incidence of entero-atmospheric fistula. On multivariable linear regression, ABRA placement was an independent predictor of shorter tracheostomy duration, after adjusting for covariates (\u03b2\u2009=\u2009\u2212\u20090.294, p\u2009=\u20090.036).ConclusionFor the post-traumatic OA, ABRA coupled with NPWT achieves a higher rate of primary fascial closure compared to NPWT alone, while requiring fewer surgeries and a shorter duration of tracheostomy.", 
    "genre": "article", 
    "id": "sg:pub.10.1007/s00268-019-05166-w", 
    "inLanguage": "en", 
    "isAccessibleForFree": true, 
    "isPartOf": [
      {
        "id": "sg:journal.1086446", 
        "issn": [
          "0364-2313", 
          "1432-2323"
        ], 
        "name": "World Journal of Surgery", 
        "publisher": "Springer Nature", 
        "type": "Periodical"
      }, 
      {
        "issueNumber": "12", 
        "type": "PublicationIssue"
      }, 
      {
        "type": "PublicationVolume", 
        "volumeNumber": "43"
      }
    ], 
    "keywords": [
      "negative pressure wound therapy", 
      "primary fascial closure", 
      "open abdomen", 
      "entero-atmospheric fistula", 
      "length of stay", 
      "fascial closure", 
      "tracheostomy duration", 
      "multivariable linear regression", 
      "fascial traction", 
      "trauma laparotomy", 
      "abdominal reapproximation anchor system", 
      "primary fascial closure rate", 
      "fascial closure rate", 
      "hollow viscus injury", 
      "Injury Severity Score", 
      "negative pressure wound therapy system", 
      "pressure wound therapy", 
      "number of surgeries", 
      "short duration", 
      "high rate", 
      "viscus injury", 
      "NPWT group", 
      "abdominal closure", 
      "independent predictors", 
      "injury score", 
      "institutional database", 
      "severity score", 
      "wound therapy", 
      "closure rate", 
      "surgery", 
      "incidence", 
      "linear regression", 
      "laparotomy", 
      "tracheostomy", 
      "fistula", 
      "patients", 
      "stay", 
      "lower rates", 
      "abdomen", 
      "duration", 
      "lower proportion", 
      "therapy system", 
      "scores", 
      "predictors", 
      "group", 
      "closure", 
      "MethodsPatients", 
      "BackgroundManagement", 
      "regression", 
      "therapy", 
      "injury", 
      "rate", 
      "males", 
      "covariates", 
      "traction", 
      "ResultsWe", 
      "proportion", 
      "placement", 
      "management", 
      "differences", 
      "database", 
      "anchor system", 
      "length", 
      "Abra", 
      "number", 
      "conjunction", 
      "analysis", 
      "comparative analysis", 
      "system", 
      "respect", 
      "terms"
    ], 
    "name": "Management of Open Abdomen After Trauma Laparotomy: A Comparative Analysis of Dynamic Fascial Traction and Negative Pressure Wound Therapy Systems", 
    "pagination": "3044-3050", 
    "productId": [
      {
        "name": "dimensions_id", 
        "type": "PropertyValue", 
        "value": [
          "pub.1120965670"
        ]
      }, 
      {
        "name": "doi", 
        "type": "PropertyValue", 
        "value": [
          "10.1007/s00268-019-05166-w"
        ]
      }, 
      {
        "name": "pubmed_id", 
        "type": "PropertyValue", 
        "value": [
          "31506714"
        ]
      }
    ], 
    "sameAs": [
      "https://doi.org/10.1007/s00268-019-05166-w", 
      "https://app.dimensions.ai/details/publication/pub.1120965670"
    ], 
    "sdDataset": "articles", 
    "sdDatePublished": "2022-05-20T07:35", 
    "sdLicense": "https://scigraph.springernature.com/explorer/license/", 
    "sdPublisher": {
      "name": "Springer Nature - SN SciGraph project", 
      "type": "Organization"
    }, 
    "sdSource": "s3://com-springernature-scigraph/baseset/20220519/entities/gbq_results/article/article_798.jsonl", 
    "type": "ScholarlyArticle", 
    "url": "https://doi.org/10.1007/s00268-019-05166-w"
  }
]
 

Download the RDF metadata as:  json-ld nt turtle xml License info

HOW TO GET THIS DATA PROGRAMMATICALLY:

JSON-LD is a popular format for linked data which is fully compatible with JSON.

curl -H 'Accept: application/ld+json' 'https://scigraph.springernature.com/pub.10.1007/s00268-019-05166-w'

N-Triples is a line-based linked data format ideal for batch operations.

curl -H 'Accept: application/n-triples' 'https://scigraph.springernature.com/pub.10.1007/s00268-019-05166-w'

Turtle is a human-readable linked data format.

curl -H 'Accept: text/turtle' 'https://scigraph.springernature.com/pub.10.1007/s00268-019-05166-w'

RDF/XML is a standard XML format for linked data.

curl -H 'Accept: application/rdf+xml' 'https://scigraph.springernature.com/pub.10.1007/s00268-019-05166-w'


 

This table displays all metadata directly associated to this object as RDF triples.

284 TRIPLES      22 PREDICATES      120 URIs      108 LITERALS      26 BLANK NODES

Subject Predicate Object
1 sg:pub.10.1007/s00268-019-05166-w schema:about N2d3d80438fe8482cbf0e85eaa27d4f2f
2 N3ba5bf6f89b04ae581872a8ed80cb96b
3 N47b04de7631649a3a58d119ed0938c64
4 N4b42f01cdff54d38b1552e7a2a80ed0d
5 N5706f77390bb4a4da51e94601cc8494a
6 N57711a8639074348a427f6f1aee2e9b8
7 N69eafda170a94026942012732f410875
8 N7b71ce29f733423eb9ceb057a768ec01
9 N8140804f5312422799b15603a3de4831
10 N84768ec6f70e4e24b498c0f13b151e60
11 N937243fcc40d41ef926aafe585142770
12 N9a5f246d78bf483bb21b48d9042140a2
13 Naa0fa175f2234441acd8f44b7f9a9864
14 Nbd0956abd03b483c911b8f0b2891a843
15 Nc75b0f06f353489faae7e4165e158fee
16 Nce3e75f726bb4b60abf00ca025a84792
17 Nd212434bbf7840f8b76d1ea156e3b480
18 Nf011148fa3d445f7ad66da218bd51915
19 Nf1464db994494e7282507b9913733f1b
20 anzsrc-for:11
21 anzsrc-for:1103
22 schema:author N9114c7e0324a4f2eaae47eb84f3ff864
23 schema:citation sg:pub.10.1007/s00268-011-1210-8
24 sg:pub.10.1007/s00268-013-2080-z
25 sg:pub.10.1007/s10029-014-1253-5
26 sg:pub.10.1186/s13017-017-0123-8
27 schema:datePublished 2019-09-10
28 schema:datePublishedReg 2019-09-10
29 schema:description BackgroundManagement of the post-traumatic open abdomen (OA) using negative pressure wound therapy (NPWT) alone is associated with low rates of primary fascial closure. The abdominal reapproximation anchor (ABRA) system exerts dynamic medial fascial traction and may work synergistically with NPWT to facilitate primary fascial closure.MethodsPatients with an OA following trauma laparotomy between 2009 and 2018 were identified from a prospectively maintained institutional database. Patients treated with ABRA in conjunction with NPWT (ABRA) versus NPWT alone (NPWT) were compared in terms of primary fascial closure rate, number of surgeries to closure, tracheostomy duration, length of stay and incidence of entero-atmospheric fistula. Multivariable linear regression was performed to identify predictors of tracheostomy duration.ResultsWe identified 48 patients [ABRA, 12 and NPWT, 36]. The ABRA group was significantly younger (25 vs. 37 years, p = 0.027) and included a lower proportion of males (58% vs. 89%, p = 0.032). Groups were similar with respect to the incidence of hollow viscus injury, injury severity score and abdominal abbreviated injury score. Compared to the NPWT group, the ABRA group had a significantly higher rate of primary fascial closure (100% vs. 28%, p < 0.001), fewer surgeries to abdominal closure (2 vs. 2.5, p = 0.023) and shorter duration of tracheostomy (15.5 vs. 36 days, p = 0.008). There were no differences in length of stay or incidence of entero-atmospheric fistula. On multivariable linear regression, ABRA placement was an independent predictor of shorter tracheostomy duration, after adjusting for covariates (β = − 0.294, p = 0.036).ConclusionFor the post-traumatic OA, ABRA coupled with NPWT achieves a higher rate of primary fascial closure compared to NPWT alone, while requiring fewer surgeries and a shorter duration of tracheostomy.
30 schema:genre article
31 schema:inLanguage en
32 schema:isAccessibleForFree true
33 schema:isPartOf N3005b69b897e4d6bb288ee64d9978b15
34 N59ae81d5b9c24419a4fb63dc089d3573
35 sg:journal.1086446
36 schema:keywords Abra
37 BackgroundManagement
38 Injury Severity Score
39 MethodsPatients
40 NPWT group
41 ResultsWe
42 abdomen
43 abdominal closure
44 abdominal reapproximation anchor system
45 analysis
46 anchor system
47 closure
48 closure rate
49 comparative analysis
50 conjunction
51 covariates
52 database
53 differences
54 duration
55 entero-atmospheric fistula
56 fascial closure
57 fascial closure rate
58 fascial traction
59 fistula
60 group
61 high rate
62 hollow viscus injury
63 incidence
64 independent predictors
65 injury
66 injury score
67 institutional database
68 laparotomy
69 length
70 length of stay
71 linear regression
72 lower proportion
73 lower rates
74 males
75 management
76 multivariable linear regression
77 negative pressure wound therapy
78 negative pressure wound therapy system
79 number
80 number of surgeries
81 open abdomen
82 patients
83 placement
84 predictors
85 pressure wound therapy
86 primary fascial closure
87 primary fascial closure rate
88 proportion
89 rate
90 regression
91 respect
92 scores
93 severity score
94 short duration
95 stay
96 surgery
97 system
98 terms
99 therapy
100 therapy system
101 tracheostomy
102 tracheostomy duration
103 traction
104 trauma laparotomy
105 viscus injury
106 wound therapy
107 schema:name Management of Open Abdomen After Trauma Laparotomy: A Comparative Analysis of Dynamic Fascial Traction and Negative Pressure Wound Therapy Systems
108 schema:pagination 3044-3050
109 schema:productId N205d04a95d2445578ee0cf12293f0b98
110 N61363fe5a7964a1f88e653fbf7a90baa
111 Nf9426f4dd71d45f2909e1f1fbd9e112b
112 schema:sameAs https://app.dimensions.ai/details/publication/pub.1120965670
113 https://doi.org/10.1007/s00268-019-05166-w
114 schema:sdDatePublished 2022-05-20T07:35
115 schema:sdLicense https://scigraph.springernature.com/explorer/license/
116 schema:sdPublisher Ne1941ab7e2aa441f9039dfa8fd3eeb1f
117 schema:url https://doi.org/10.1007/s00268-019-05166-w
118 sgo:license sg:explorer/license/
119 sgo:sdDataset articles
120 rdf:type schema:ScholarlyArticle
121 N0d3378c3f60d4462a2ea97d70466dda0 rdf:first sg:person.01340474224.05
122 rdf:rest N6c1953976deb49b8bc6347d16f30d0a4
123 N205d04a95d2445578ee0cf12293f0b98 schema:name dimensions_id
124 schema:value pub.1120965670
125 rdf:type schema:PropertyValue
126 N2d3d80438fe8482cbf0e85eaa27d4f2f schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
127 schema:name Postoperative Complications
128 rdf:type schema:DefinedTerm
129 N3005b69b897e4d6bb288ee64d9978b15 schema:volumeNumber 43
130 rdf:type schema:PublicationVolume
131 N3ba5bf6f89b04ae581872a8ed80cb96b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
132 schema:name Humans
133 rdf:type schema:DefinedTerm
134 N47b04de7631649a3a58d119ed0938c64 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
135 schema:name Prospective Studies
136 rdf:type schema:DefinedTerm
137 N4b42f01cdff54d38b1552e7a2a80ed0d schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
138 schema:name Adult
139 rdf:type schema:DefinedTerm
140 N5706f77390bb4a4da51e94601cc8494a schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
141 schema:name Intestinal Fistula
142 rdf:type schema:DefinedTerm
143 N57711a8639074348a427f6f1aee2e9b8 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
144 schema:name Adolescent
145 rdf:type schema:DefinedTerm
146 N59ae81d5b9c24419a4fb63dc089d3573 schema:issueNumber 12
147 rdf:type schema:PublicationIssue
148 N61363fe5a7964a1f88e653fbf7a90baa schema:name pubmed_id
149 schema:value 31506714
150 rdf:type schema:PropertyValue
151 N6512748228d14631855cfd2be3424d44 rdf:first sg:person.01015314377.70
152 rdf:rest N8ff4c56cd1fb4d3381063f3a303005bb
153 N69eafda170a94026942012732f410875 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
154 schema:name Abdominal Cavity
155 rdf:type schema:DefinedTerm
156 N6c1953976deb49b8bc6347d16f30d0a4 rdf:first sg:person.01066513025.27
157 rdf:rest rdf:nil
158 N7b71ce29f733423eb9ceb057a768ec01 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
159 schema:name Abdominal Injuries
160 rdf:type schema:DefinedTerm
161 N8140804f5312422799b15603a3de4831 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
162 schema:name Traction
163 rdf:type schema:DefinedTerm
164 N84768ec6f70e4e24b498c0f13b151e60 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
165 schema:name Male
166 rdf:type schema:DefinedTerm
167 N8ff4c56cd1fb4d3381063f3a303005bb rdf:first sg:person.01324046740.52
168 rdf:rest Ne3c84e70c54d404eb0039f3a7bbc8fba
169 N9114c7e0324a4f2eaae47eb84f3ff864 rdf:first Nec6e5fcb96c4463ea2bfd9263933b39c
170 rdf:rest Ncd75b1b1392c4015bed06d2babf6aec9
171 N937243fcc40d41ef926aafe585142770 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
172 schema:name Abdominal Wound Closure Techniques
173 rdf:type schema:DefinedTerm
174 N955979f8bd7f47de930cfa7df7ffee42 rdf:first sg:person.015536744655.01
175 rdf:rest N6512748228d14631855cfd2be3424d44
176 N9a5f246d78bf483bb21b48d9042140a2 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
177 schema:name Length of Stay
178 rdf:type schema:DefinedTerm
179 Na7c0e91457a646a0883db045a4049d0b rdf:first sg:person.0626447117.27
180 rdf:rest N0d3378c3f60d4462a2ea97d70466dda0
181 Naa0fa175f2234441acd8f44b7f9a9864 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
182 schema:name Aged
183 rdf:type schema:DefinedTerm
184 Nbd0956abd03b483c911b8f0b2891a843 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
185 schema:name Middle Aged
186 rdf:type schema:DefinedTerm
187 Nc75b0f06f353489faae7e4165e158fee schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
188 schema:name Time Factors
189 rdf:type schema:DefinedTerm
190 Ncd75b1b1392c4015bed06d2babf6aec9 rdf:first sg:person.010205273635.73
191 rdf:rest N955979f8bd7f47de930cfa7df7ffee42
192 Nce3e75f726bb4b60abf00ca025a84792 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
193 schema:name Fasciotomy
194 rdf:type schema:DefinedTerm
195 Nd212434bbf7840f8b76d1ea156e3b480 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
196 schema:name Female
197 rdf:type schema:DefinedTerm
198 Ne1941ab7e2aa441f9039dfa8fd3eeb1f schema:name Springer Nature - SN SciGraph project
199 rdf:type schema:Organization
200 Ne3c84e70c54d404eb0039f3a7bbc8fba rdf:first sg:person.01051400466.56
201 rdf:rest Na7c0e91457a646a0883db045a4049d0b
202 Nec6e5fcb96c4463ea2bfd9263933b39c schema:affiliation grid-institutes:grid.63984.30
203 schema:familyName Wang
204 schema:givenName Yifan
205 rdf:type schema:Person
206 Nf011148fa3d445f7ad66da218bd51915 schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
207 schema:name Negative-Pressure Wound Therapy
208 rdf:type schema:DefinedTerm
209 Nf1464db994494e7282507b9913733f1b schema:inDefinedTermSet https://www.nlm.nih.gov/mesh/
210 schema:name Young Adult
211 rdf:type schema:DefinedTerm
212 Nf9426f4dd71d45f2909e1f1fbd9e112b schema:name doi
213 schema:value 10.1007/s00268-019-05166-w
214 rdf:type schema:PropertyValue
215 anzsrc-for:11 schema:inDefinedTermSet anzsrc-for:
216 schema:name Medical and Health Sciences
217 rdf:type schema:DefinedTerm
218 anzsrc-for:1103 schema:inDefinedTermSet anzsrc-for:
219 schema:name Clinical Sciences
220 rdf:type schema:DefinedTerm
221 sg:journal.1086446 schema:issn 0364-2313
222 1432-2323
223 schema:name World Journal of Surgery
224 schema:publisher Springer Nature
225 rdf:type schema:Periodical
226 sg:person.01015314377.70 schema:affiliation grid-institutes:grid.63984.30
227 schema:familyName Beckett
228 schema:givenName Andrew
229 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01015314377.70
230 rdf:type schema:Person
231 sg:person.010205273635.73 schema:affiliation grid-institutes:grid.63984.30
232 schema:familyName Alnumay
233 schema:givenName Abdulaziz
234 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.010205273635.73
235 rdf:type schema:Person
236 sg:person.01051400466.56 schema:affiliation grid-institutes:grid.63984.30
237 schema:familyName Khwaja
238 schema:givenName Kosar
239 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01051400466.56
240 rdf:type schema:Person
241 sg:person.01066513025.27 schema:affiliation grid-institutes:grid.14709.3b
242 schema:familyName Deckelbaum
243 schema:givenName Dan L.
244 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01066513025.27
245 rdf:type schema:Person
246 sg:person.01324046740.52 schema:affiliation grid-institutes:grid.63984.30
247 schema:familyName Fata
248 schema:givenName Paola
249 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01324046740.52
250 rdf:type schema:Person
251 sg:person.01340474224.05 schema:affiliation grid-institutes:grid.63984.30
252 schema:familyName Grushka
253 schema:givenName Jeremy
254 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.01340474224.05
255 rdf:type schema:Person
256 sg:person.015536744655.01 schema:affiliation grid-institutes:grid.63984.30
257 schema:familyName Paradis
258 schema:givenName Tiffany
259 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.015536744655.01
260 rdf:type schema:Person
261 sg:person.0626447117.27 schema:affiliation grid-institutes:grid.14709.3b
262 schema:familyName Razek
263 schema:givenName Tarek
264 schema:sameAs https://app.dimensions.ai/discover/publication?and_facet_researcher=ur.0626447117.27
265 rdf:type schema:Person
266 sg:pub.10.1007/s00268-011-1210-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1040994963
267 https://doi.org/10.1007/s00268-011-1210-8
268 rdf:type schema:CreativeWork
269 sg:pub.10.1007/s00268-013-2080-z schema:sameAs https://app.dimensions.ai/details/publication/pub.1044013694
270 https://doi.org/10.1007/s00268-013-2080-z
271 rdf:type schema:CreativeWork
272 sg:pub.10.1007/s10029-014-1253-5 schema:sameAs https://app.dimensions.ai/details/publication/pub.1032746403
273 https://doi.org/10.1007/s10029-014-1253-5
274 rdf:type schema:CreativeWork
275 sg:pub.10.1186/s13017-017-0123-8 schema:sameAs https://app.dimensions.ai/details/publication/pub.1083881823
276 https://doi.org/10.1186/s13017-017-0123-8
277 rdf:type schema:CreativeWork
278 grid-institutes:grid.14709.3b schema:alternateName Centre for Global Surgery, McGill University, Montreal, QC, Canada
279 schema:name Centre for Global Surgery, McGill University, Montreal, QC, Canada
280 Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada
281 rdf:type schema:Organization
282 grid-institutes:grid.63984.30 schema:alternateName Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada
283 schema:name Division of Trauma Surgery, McGill University Health Centre, McGill University, 1650 Cedar Avenue, L9-411, H3G 1A4, Montreal, QC, Canada
284 rdf:type schema:Organization
 




Preview window. Press ESC to close (or click here)


...