Study
TAC Primary fascial closure (%) Complications Conclusion Keene et al. (2011) [42 ] 2 Prolene mesh (Pt 1); Extracellular matrix mesh and vacuum therapy (Pt 2) 0.0 Patient 1-sepsis and ECF; Patient 2-skin dehiscence, infected extracellular mesh. Both patients healed by secondary intention Using extracellular matrix mesh and vacuum therapy for fascial and skin closure, respectively, is superior to Prolene mesh Biebl et al. (2010) [51 ] 5 Neuropatches (3), Polytetrafluoroethylene (1), Silastic sheet (1) 80.0 Subileus in one pt at 18 months post closure Recommend early operation for ACS using patch abdominoplasty Pentlow et al. (2008) [52 ] 5 Porcine dermal collagen implants 100.0 Incisional hernia, skin dehiscence over implant Porcine dermal collagen implant is a helpful adjunct to abdominal wall closure following organ transplantation Fenton et al. (2007) [53 ] 7 Temporary abdominal vacuum packing 100.0 None Vac-Pac closure in infants is a safe and effective method of TAC Barker et al. (2007) [54 ] 258* Temporary vacuum pack 68.1 Fistulae (5%), abscesses (3.5%), bowel obstr (1.2%), ACS (1.2%), evisceration (0.4%) Method demonstrates ease of mastery, effectiveness in patient care and comfort, low cost, and complication rates Howdieshell et al. (2004) [55 ] 88* Silicone sheeting TAC 81.0 (of survivors) Revision of sheeting due to recurrent ACS or fascial-sheeting dehiscence Provides a safe and reliable TAC allowing for later definitive reconstruction Wu et al. (2003) [56 ] 15 Primary Silastic spring-loaded silo 100.0 Temporary dislodgement of silo (13.3%) Permits safe, gentle, and gradual reduction of the exposed viscera Markley et al. (2002) [57 ] 6 Pediatric vacuum packing wound closure and corset-like lacing 80.0 none The Vac-Pac wound closure technique and its corset modification are important additions to the armamentarium of the general and pediatric surgeon for the management of the ACS Tremblay et al. (2001) [58 ] 181* Skin only closure, Silo, Polygalactin mesh or packing 52 ACS (13%), ECF (14%), evisceration/dehiscence (5%), hernias (48%) No definite conclusions. Recommended prospective trials to determine the optimal technique for abdominal closure Barker et al. (2000) [59 ] 112* Temporary vacuum pack 55.4 ECF (4.5%), abscesses (4.5%), required re-exploration after closure (2.7%) The technique is simple and easily mastered and primary closure is achieved in the majority with a low complication rate Neville et al. (2000) [18 ] 23 Patch abdominoplasty 43.4 21.7%-ECF, abscesses Patch abdominoplasty effectively decreases airway pressures and oxygen requirements associated with ACS de Ville de Goyet et al. (1998) [60 ] 329* Temporary Silastic prosthetic closure with skin closure 76.5 (36 of 47) None related to TAC Very useful variation of TAC that is free of related complications and esthetically preferable to others Sherck et al. (1998) [61 ] 50* Sutureless coverage (clear plastic sheet + sump drains + iodophore impregnated adhesive plastic drape) 87.5 No recurrent ACS, evisceration, wound infection, fasciitis nor bowel obstruction; ECF (2), pelvic/abdominal abscess (3), pancreatic fistula (1) Rapid, safe, easily available means of managing the OA Smith et al. (1997) [62 ] 93* Vacuum pack 73.9 (of survivors) ECF (4.3%), abcesses (4.3%) Good patient outcomes can be achieved with its use and careful subsequent management Ong et al. (1996) [63 ] 21 Temporary Silastic patch closure 100.0 23.8 wound complications (dehiscence = 1, infection = 3, incisional hernia = 1) In patients with difficult abdominal closure after liver transplant recommended as treatment of choice at that time Seaman et al. (1996) [64 ] 17 Polytetrafluoroethylene patch + abdominal drains with suction 100.0 (skin closure by secondary intention) None Suggests that PTFE can be used safely for temporary wound closure in liver transplant recipients. The majority of patches can be removed during the first postoperative week Brock et al. (1995) [65 ] 28* Vacuum pack 50.0 ECF (4), wound dehiscence (2) Inexpensive, readily available and valuable Shun et al. (1992) [66 ] 2 Expanded Polytetrafluoroethylene 100.0 Technique allows greater flexibility in use of donor livers for pediatric patients Schnaufer and Everett (1975) [67 ] 2 Silastic patch 50.0 Sepsis Can be useful in pts with stage IV neuroblastoma.
