Characteristics (N = 17) | Value | N (%) |
---|---|---|
Gender | Male | 8 (47) |
Female | 9 (53) | |
Age | Mean (SD), yrs | 62.6 (±18.6) |
Median (range), yrs | 72 (18–79) | |
Surgical indications to open abdomen | Intra-abdominal sepsis and/or post-operative complications | 7 (41.2) |
Pancreatitis | 1 (5.8) | |
Trauma | 3 (17.6) | |
Vascular complications | 2 (11.8) | |
Intestinal ischemia | 4 (23.6) | |
Comorbiditiesa | Corticosteroid therapy | 2 |
Cardiopathy and vasculopathy | 9 | |
Malignancy | 6 | |
Infectious diseases, immunodepression | 5 | |
Abdominal aortic aneurism | 4 | |
Hemodialisis | 1 | |
Diabetes | 1 | |
None | 3 | |
Provenience of the pts | ICU | 8 (47) |
Ward | 5 (29.5) | |
 | Emergency department | 4 (23.5) |
ISS (N = 3) | ISS mean (SD) | 38.3 (±14.3) |
ISS median (range) | 35 (26–54) | |
Bathazar score (N = 1) | E |  |
MPI (N = 14) | MPI mean (SD) | 26.6 (±8.8) |
MPI median (range) | 26 (15–43) | |
<21 | 4 (28.6) | |
21–29 | 5 (35.7) | |
>29 | 5 (35.7) | |
Bjorck classification at the first laparotomy | Ia | 7 (41.4) |
Ib | 4 (23.5) | |
 | IIa | 0 (0) |
IIb | 6 (35.1) | |
III | 0 (0) | |
IV | 0 (0) | |
Bjorck classification at the closure | Ia | 13 (76.6) |
Ib | 0 (0) | |
IIa | 3 (17.6) | |
IIb | 0 (0) | |
III | 0 (0) | |
IV | 1 (5.8) | |
Causes of OA | Prevention of ACS | 12 (70.6) |
Treatment of ACS | 5 (29.4) | |
Type of OA | NPWT | 16 (94.2) |
Skin closure | 1 (5.8) | |
Closure abdominal wall | Mean (SD), dys | 6.1 (±3.5) |
Median (range), dys | 6 (1–15) | |
Stoma | Yes | 4 (23.5) |
- colostomy | 2 (50) | |
- ileostomy | 1 (25) | |
- urostomy | 1 (25) | |
No | 13 (76.5) | |
Intestinal anastomosis | Yes | 11 (64.7) |
No | 6 (35.3) | |
Enterocutaneous fistula | Yes | 1 (5.8) |
No | 16 (94.2) | |
Fascia closure | Yes | 9 (53) |
No | 8 (47) | |
Prothetic position | Onlay | 2 (11.8) |
Inlay | 1 (5.8) | |
Retromuscolar | 9 (52.8) | |
Preperitoneal | 0 (0) | |
Intraperitoneal | 5 (29.6) | |
Hospital stay | ICU | Â |
Mean (SD), dys | 23.9 (±18.2) | |
Median (range), dys | 20 (2–71) | |
Ward | Â | |
Mean (SD), dys | 28.4 (±21.2) | |
Median (range), dys | 23 (0–70) | |
Mortality rates | Peri-operative | 5 (29.4) |
At 3Â months | 0 (0) | |
At 6Â months | 0 (0) | |
At 9Â months | 0 (0) |