Findings indicate that vacuum-assisted wound closure with mesh-mediated fascial traction (vawcm) significantly improves primary fascial closure success rates (70% vs. 36%) and reduces in-hospital mortality (26% vs. 72%) compared to traditional vacuum-assisted wound closure (vawc) only. Multivariate analysis confirms vawcm’s role as an independent factor linked to lower mortality (odds ratio, 0.14; p = 0.004). These results suggest a more effective management strategy for patients undergoing open abdomen procedures.
• Why it matters: Open abdomen management often leads to high mortality rates.
Journal Article by Shigeta K, Kim S (…) Yokobori S et 6 al. in Surg Today
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