Table 2.
Features | DFC achieved (n=12) | DFC not achieved (n=7) |
---|---|---|
Median age (range) | 62.5 (19–75) | 63.0 (36–69) |
Co-morbidities | ||
Ischaemic heart disease | 4 (33%) | 3 (43%) |
Malignancy | 6 (50%) | 1 (14%) |
Hypertension | 2 (17%) | 1 (14%) |
Hypothyroidism | 1 (8%) | 2 (29%) |
Stroke | 1 (8%) | 1 (14%) |
Indication for TAC | ||
Intra-abdominal sepsis | 12 (100%) | 5 (71%) |
Planned relook | 5 (42%) | 5 (71%) |
Concerns over ACS | 3 (25%) | 0 (0%) |
Index TAC technique | ||
Bogota bag | 6 (50%) | 1 (14%) |
OpSite® sheet/sandwich | 4 (33%) | 5 (71%) |
NPWT | 0 (0%) | 0 (0%) |
MMFT | 1 (8%) | 1 (14%) |
Loose gauze packing | 1 (8%) | 0 (0%) |
Secondary TAC technique | ||
Bogota bag | 4 (33%) | 0 (0%) |
OpSite® sheet/sandwich | 0 (0%) | 3 (43%) |
NPWT | 5 (42%) | 3 (43%) |
MMFT | 3 (25%) | 1 (14%) |
Complications | ||
Death | 0 (0%) | 2 (29%) |
Pneumonia | 3 (25%) | 2 (29%) |
Multiorgan dysfunction | 1 (8%) | 2 (29%) |
Small bowel fistula | 0 (0%) | 1 (14%) |
DFC = definitive fascial closure; TAC = temporary abdominal closure; ACS = abdominal compartment syndrome; NPWT = negative pressure wound therapy; MMFT = mesh mediated fascial traction.