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Quality of life and hernia development 5 years after open abdomen treatment with vacuum-assisted wound closure and mesh-mediated fascial traction
Lund Univ, Dept Clin Sci Malmo, Lund, Sweden.;Skane Univ Hosp, Dept Surg, Malmo, Sweden..
Lund Univ, Dept Clin Sci Malmo, Lund, Sweden.;Kristianstad Hosp, Dept Surg, Kristianstad, Sweden..
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Surgical Sciences, Vascular Surgery.
Lund Univ, Dept Clin Sci Malmo, Lund, Sweden.;Skane Univ Hosp, Dept Surg, Malmo, Sweden..
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2016 (English)In: Hernia, ISSN 1265-4906, E-ISSN 1248-9204, Vol. 20, no 5, 755-764 p.Article in journal (Refereed) Published
Abstract [en]

To report incisional hernia (IH) incidence, abdominal wall (AW) discomfort and quality of life (QoL) 5 years after open abdomen treatment with vacuum-assisted wound closure and mesh-mediated fascial traction (VAWCM). Five-year follow-up of patients included in a prospective study 2006-2009. The protocol included physical examination, patient interview, chart review, questionnaires on abdominal wall and stoma complaints and the SF-36 questionnaire. Fifty-five (12 women, 43 men; median age 70 years) of 111 included patients were alive. Follow-up rate was 91 %. Cumulative IH incidence during the whole study was 62 %. One-third of the IHs was repaired. At 5-year follow-up 59 % of IHs were clinically detectable. AW symptoms were equivalent in patients with (15/23) and without (11/21) IH (p = 0.541). SF-36 scores were lower than population mean for component scores and all subscales except bodily pain. Patients with major co-morbidity had lower physical component score [31.6 (95 %, CI 25.6-37.4)] compared to those without [48.9 (95 %, CI 46.2-51.4)]. Major co-morbidity was not associated with IH (p = 0.56), AW symptoms (p = 0.54) or stoma (p = 0.10). Patients with IH or other AW symptoms had similar SF-36 results compared to those without, whereas patients with a stoma had > 5 point lower mean scores for general health, social function and physical component score compared to those without. VAWCM treatment results in high incidence of IH. However, at five years, there was no detectable difference in abdominal wall complaints and QoL in patients with IH compared to those without. Lower QoL appeared mainly to be associated with the presence of major co-morbidity.

Place, publisher, year, edition, pages
2016. Vol. 20, no 5, 755-764 p.
Keyword [en]
Vacuum-assisted wound closure, Meshmediated fascial traction, Open abdomen, Incisional hernia, Quality of life, SF-36
National Category
Surgery
Identifiers
URN: urn:nbn:se:uu:diva-305307DOI: 10.1007/s10029-016-1516-4ISI: 000383514200017PubMedID: 27324880OAI: oai:DiVA.org:uu-305307DiVA: diva2:1037793
Available from: 2016-10-18 Created: 2016-10-14 Last updated: 2016-10-18Bibliographically approved

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Björck, MartinSörelius, Karl
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