Table 4 Temporary abdominal closure strategy and operative interventions among physiological, anatomical, and logistical reasons in patients with open abdomens
Physiological (n = 45) | Anatomical (n = 45) | Logistical (n = 45) | |||||||
|---|---|---|---|---|---|---|---|---|---|
Present (n = 38) | Absent (n = 7) | p | Present (n = 25) | Absent (n = 20) | p | Present (n = 21) | Absent (n = 24) | p | |
TAC strategy, n (%) | |||||||||
NPWT | 5 (13.2) | 0 | 0.577 | 2 (8.0) | 3 (15.0) | 0.642 | 4 (19.0) | 1 (4.2) | 0.169 |
Bogota bag | 35 (92.1) | 7 (100) | 1.000 | 23 (92.0) | 19 (95.0) | 1.000 | 19 (90.5) | 23 (95.8) | 0.592 |
Intraoperative procedures, n (%) | |||||||||
Primary repair of hollow viscus | 10 (26.3) | 0 | 0.320 | 3 (12.0) | 7 (35.0) | 0.083 | 3 (14.3) | 7 (29.2) | 0.296 |
GI tract in discontinuity | 7 (18.4) | 2 (28.6) | 0.614 | 5 (20.0) | 4 (20.0) | 1.000 | 9 (42.9) | 0 | <0.001 |
Bowel resection | 13 (34.2) | 2 (28.6) | 1.000 | 9 (36.0) | 6 (30.0) | 0.757 | 12 (57.1) | 3 (12.5) | 0.004 |
Packing | 7 (18.4) | 2 (28.6) | 0.614 | 5 (20.0) | 4 (20.0) | 1.000 | 9 (42.9) | 0 | <0.001 |
Splenectomy | 9 (23.7) | 1 (14.3) | 1.000 | 6 (24.0) | 4 (20.0) | 1.000 | 4 (19.0) | 6 (25.0) | 0.729 |
Repair of major vessel | 5 (13.2) | 1 (14.3) | 1.000 | 3 (12.0) | 3 (15.0) | 1.000 | 4 (19.0) | 2 (8.3) | 0.396 |
Ligation of major vessel | 4 (10.5) | 1 (14.3) | 1.000 | 4 (16.0) | 1 (5.0) | 0.362 | 3 (14.3) | 2 (8.3) | 0.689 |
Drainage of IAA | 1 (2.6) | 1 (14.3) | 0.290 | 2 (8.0) | 0 | 0.495 | 1 (4.8) | 1 (4.2) | 0.652 |
Nephrectomy | 2 (5.3) | 1 (14.3) | 0.405 | 3 (12.0) | 0 | 0.242 | 1 (4.8) | 2 (8.3) | 1.000 |
Repair of solid organ | 9 (23.7) | 0 | 0.315 | 4 (16.0) | 5 (25.0) | 0.482 | 3 (14.3) | 6 (25.0) | 1.000 |
Ostomy | 5 (13.2) | 0 | 0.577 | 4 (16.0) | 1 (5.0) | 0.362 | 3 (14.3) | 2 (8.3) | 0.652 |