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

Abstract

Vacuum sealing drainage (VSD) is frequently used in abdominal surgeries. However, relevant guidelines are rare. Chinese Trauma Surgeon Association organized 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 with 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 increase the risk of bleeding? (10) Does VSD increase the risk of intestinal wall 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.

• Authors: Yang Li, Pei-Yuan Li, Shi-Jing Sun, Yuan-Zhang Yao, Zhan-Fei Li, Tao Liu, Fan Yang, Lian-Yang Zhang, Xiang-Jun Bai, Jing-Shan Huo, Wu-Bing He, Jun Ouyang, Lei Peng, Ping Hu, Yan-An Zhu, Ping Jin, Qi-Feng Shao, Yan-Feng Wang, Rui-Wu Dai, Pei-Yang Hu, Hai-Ming Chen, Ge-Fei Wang, Yong-Gao Wang, Hong-Xu Jin, Chang-Ju Zhu, Qi-Yong Zhang, Biao Shao, Xi-Guang Sang, Chang-Lin Yin
• Journal: Chinese journal of traumatology = Zhonghua chuang shang za zhi (Chin J Traumatol) Vol. 22 Issue 1 Pg. 1-11 (Feb 2019) ISSN: 1008-1275 [Print] China
• PMID: 30850324 (Publication Type: Journal Article, Systematic Review)
• Copyright: Copyright © 2019 Daping Hospital and the Research Institute of Surgery of the Third Military Medical University. Production and hosting by Elsevier B.V. All rights reserved.

Topics

• Abdomen (surgery)
• China
• Drainage (methods)
• Evidence-Based Medicine
• Humans
• Practice Guidelines as Topic
• Societies, Medical (organization & administration)
• Surgical Wound Infection (prevention & control)
• Traumatology (organization & administration)
• Vacuum