Chinese Trauma Surgeon Association for management guidelines of vacuum sealing drainage application in abdominal surgeries-Update and systematic review

查看全文 作　　者：Yang [1]Li;Pei-Yuan [1]Li;Shi-Jing [1]Sun;Yuan-Zhang [1]Yao;Zhan-Fei [2]Li;Tao [2]Liu;Fan [2]Yang;Lian-Yang [1]Zhang;Xiang-Jun [2]Bai;Jing-Shan [3]Huo;Wu-Bing [4]He;Jun [5]Ouyang;Lei [6]Peng;Ping [7]Hu;Yan-An [8]Zhu;Ping [9]Jin;Qi-Feng [10]Shao;Yan-Feng [11]Wang;Rui-Wu [12]Dai;Pei-Yang [13]Hu;Hai-Ming [14]Chen;Ge-Fei [15]Wang;Yong-Gao [16]Wang;Hong-Xu [17]Jin;Chang-Ju [18]Zhu;Qi-Yong [19]Zhang;Biao [20]Shao;Xi-Guang [21]Sang;Chang-Lin [22]Yin

机构地区：[1]Trauma Center of PLA, State Key Laboratory of Trauma, Bums and Combined Injury, Institute of Surgery Research, Doping Hospital, Third Military Medical University, Chongqing, China;[10]Ninth People's Hospital of Zhengzhou, Zhengzhou, China;[11]Zhongnan Hospital of Wuhan University, Wuhan, China;[12]Chengdu Military General Hospital, Chengdu,China;[13]Tiantai County People's Hospital, Tiantai, Zhejiang, China;[14]The First Affiliated Hospital of Nanchang University, Nanchang, China;[15]Department of Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China;[16]Department of Surgery, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China;[17]Shenyang Military General Hospital, Shenyang, China;[18]The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China;[19]The Affiliated Hospital of Guizhou Medical University, Guiyang, China;[2]Trauma Center/Department of Emergency and Trauma Surgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China;[20]The First People's Hospital of Kunming, Kunming, China;[21]Qilu Hospital of Shandong University, Jinan, China;[22]The First Affiliated Hospital of Third Military Medical University, Chongqing, China;[3]Foshan Hospital of Traditional Chinese Medicine, Foshan, Guangzhou Province, China;[4]Fujian Provincial Hospital, Fuzhou, China;[5]Emergency Surgery of the First Affiliated Hospital, Shihezi University School of Medicine, Shihezi, Xinjiang Autonomous Region, China;[6]The First Affiliated Hospital of Hainan Medical University, Haikou, China;[7]Chongqing Emergency Medical Center, Chongqing, China;[8]Taizhou Hospital of Zhejiang Province, Taizhou, Zhejiang Province, China;[9]Yuyao People's Hospital of Zhejiang Province, Yuyao, Zhejiang Province, China

出　　处：《Chinese Journal of Traumatology》索引2019年第22卷第1期,共11页

摘　　要：Vacuum sealing drainage (VSD) is frequently used in abdominal surgeries. However, relevant guidelines are rare. Chin ese Trauma Surge on Associati on orga nized a committee composed of 28 experts across China in July 2017, aiming to provide an evidence-based recommendation for the application of VSD in abdominal surgeries.Eleven questions regarding the use of VSD in abdominal surgeries were addressed:(1) which type of materials should be respectively chosen for the intraperitoneal cavity, retroperitoneal cavity and superficial incisions?(2) Can VSD be preventively used for a high-risk abdominal incision w让h primary suture?(3) Can VSD be used in severely contaminated/infected abdominal surgical sites?(4) Can VSD be used for temporary abdominal cavity closure under some special conditions such as severe abdominal trauma, infection, liver transplantation and intra-abdominal volume increment in abdominal compartment syndrome?(5) Can VSD be used in abdominal organ inflammation, injury, or postoperative drainage?(6) Can VSD be used in the treatment of intestinal fistula and pancreatic fistula?(7) Can VSD be used in the treatment of intra-abdominal and extra-peritoneal abscess?(8) Can VSD be used in the treatment of abdominal wall wounds, wound cavity, and defects?(9) Does VSD in crease the risk of bleeding?(10) Does VSD increase the risk of intestinal wail injury?(11) Does VSD increase the risk of peritoneal adhesion? Focusing on these questions, evidence-based recommendations were given accordingly. VSD was strongly recommended regarding the questions 2-4. Weak recommendations were made regarding questions 1 and 5-11. Proper use of VSD in abdominal surgeries can lower the risk of infection in abdominal incisions with primary suture, treat severely contaminated/infected surgical sites and facilitate temporary abdominal cavity closure. 关键词：GUIDELINE Vacuum SEALING drainage ABDOMINAL surgery

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Chinese Trauma Surgeon Association for management guidelines of vacuum sealing drainage application in abdominal surgeries-Update and systematic review

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