MANAGEMENT OF BURST ABDOMEN BY NEGATIVE PRESSURE THERAPY VERSUS DIRECT SKIN CLOSURE: A RANDOMIZED CONTROLLED TRIAL
ELkafrawy, H., Elkeleny, M., Mourad, M., Elbanna, A. (2025). MANAGEMENT OF BURST ABDOMEN BY NEGATIVE PRESSURE THERAPY VERSUS DIRECT SKIN CLOSURE: A RANDOMIZED CONTROLLED TRIAL. EKB Journal Management System, 7(2), 37-38. doi: 10.21608/alexpo.2025.383123.2163
Hossam ELkafrawy; Mostafa Refaie Elkeleny; Mohamed Mourad; Ahmed Hazem Elbanna. "MANAGEMENT OF BURST ABDOMEN BY NEGATIVE PRESSURE THERAPY VERSUS DIRECT SKIN CLOSURE: A RANDOMIZED CONTROLLED TRIAL". EKB Journal Management System, 7, 2, 2025, 37-38. doi: 10.21608/alexpo.2025.383123.2163
ELkafrawy, H., Elkeleny, M., Mourad, M., Elbanna, A. (2025). 'MANAGEMENT OF BURST ABDOMEN BY NEGATIVE PRESSURE THERAPY VERSUS DIRECT SKIN CLOSURE: A RANDOMIZED CONTROLLED TRIAL', EKB Journal Management System, 7(2), pp. 37-38. doi: 10.21608/alexpo.2025.383123.2163
ELkafrawy, H., Elkeleny, M., Mourad, M., Elbanna, A. MANAGEMENT OF BURST ABDOMEN BY NEGATIVE PRESSURE THERAPY VERSUS DIRECT SKIN CLOSURE: A RANDOMIZED CONTROLLED TRIAL. EKB Journal Management System, 2025; 7(2): 37-38. doi: 10.21608/alexpo.2025.383123.2163

MANAGEMENT OF BURST ABDOMEN BY NEGATIVE PRESSURE THERAPY VERSUS DIRECT SKIN CLOSURE: A RANDOMIZED CONTROLLED TRIAL

ALEXMED ePosters
Article 1, Volume 7, Issue 2, April 2025, Pages 37-38
Document Type: Preliminary preprint short reports of original research
DOI: 10.21608/alexpo.2025.383123.2163
Authors
Hossam ELkafrawy1; Mostafa Refaie Elkeleny2; Mohamed Mourad3; Ahmed Hazem Elbanna* 4
1Plastic Surgery Unit, Surgery Department, Faculty of Medicine, Alexandria University.
2Gastroenterology (GIT) Surgical Unit, Department of Surgery, Faculty of Medicine, University of Alexandria
3Department of Surgery, Faculty of Medicine, Alexandria University, Egypt
4Department of General Surgery, Faculty of Medicine, Alexandria University.
Abstract
Burst abdomen, or abdominal wound dehiscence, involves partial or complete disruption of the abdominal wall, often leading to serious complications like morbidity, prolonged hospitalization, and high healthcare costs. Proper understanding of abdominal wall anatomy-including skin, fascia, muscles, blood supply, lymphatics, and innervations-is essential for effective surgical management. Burst abdomen incidence varies from 0.2% to 12%, influenced by patient comorbidities, surgical technique, and emergency versus elective procedures. Risk factors include malnutrition, diabetes, anemia, steroid use, and peritonitis. Management strategies are categorized into non-operative measures and multiple operative techniques under temporary abdominal closure (TAC). Options include Bogota bag, Wittmann Patch, skin-only closure, simple packing, mesh applications, and vacuum-assisted closure (VAC). Among these, VAC therapy has gained prominence for promoting granulation tissue, reducing edema, enhancing bacterial clearance, and accelerating wound healing. However, despite promising results, few studies have directly compared VAC therapy and conventional methods like skin closure in post-laparotomy wound dehiscence, justifying the need for this study.
Keywords
VAC; Burst abdomen; DIRECT SKIN CLOSURE
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