{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T08:01:55Z","timestamp":1793865715333,"version":"4.6.1"},"reference-count":30,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T00:00:00Z","timestamp":1725667200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2024,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Open abdomen (OA) therapy is used in the management of patients who require surgery for severe abdominal conditions. This meta\u2010analysis aims to evaluate the VAWCM technique regarding short and long\u2010term outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>PubMed, Embase, and Cochrane Central were systematically searched for studies that analyzed VAWCM therapy in OA. Primary outcomes were the complete fascial closure rate and mean duration of OA treatment. Statistical analyses were performed using R statistical software.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Seven studies comprising 535 patients were included. We found a complete fascial closure rate of 77.3 per 100 patients (80.1%; 95% CI 59.6\u201388.7; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a076%), with an overall mortality of 30.3 per 100 (33.5%; 95% CI 9.3\u201319.4; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a078%). The pooled mean duration of OA treatment was 14.6\u00a0days (95% CI 10.7\u201318.6; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a093%), while the mean length of hospital stay was 43.3\u00a0days (95% CI 21.2\u201365.3; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a096%). As additional outcomes, we found an enteroatmospheric fistula rate of 5.6\u00a0per 100 patients (5.4%; 95% CI 2.3\u201313.3; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a045%) and incisional hernia rate of 34.7\u00a0per 100 (34.6%; 95% CI 28.9\u201341.1; <jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u00a00%). The subgroup analysis of mesh materials (polypropylene or polyglactin) showed a higher complete fascial closure rate for the polyglactin (89.1% vs. 66.6%; <jats:italic>p<\/jats:italic>\u00a0=\u00a00.02).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Our findings showed that VAWCM is a viable option for OA treatment, successfully reaching complete fascial closure, with a low duration of the technique, even though it presented a high heterogeneity between the studies.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12336","type":"journal-article","created":{"date-parts":[[2024,9,7]],"date-time":"2024-09-07T12:34:03Z","timestamp":1725712443000},"page":"2391-2399","source":"Crossref","is-referenced-by-count":16,"title":["Vacuum\u2010assisted wound closure and mesh\u2010mediated fascial traction for temporary closure in open abdomen: A single\u2010arm meta\u2010analysis"],"prefix":"10.1002","volume":"48","author":[{"given":"Gabriele Eckerdt","family":"Lech","sequence":"first","affiliation":[{"name":"Pontifical Catholic University of Rio Grande do Sul  Porto Alegre Rio Grande do Sul Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brian Henriques","family":"Neves","sequence":"additional","affiliation":[{"name":"Grande Rio University  Rio de Janeiro Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gilson Ten\u00f3rio","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Bahiana School of Medicine and Public Health  Salvador Bahia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2428-0620","authenticated-orcid":false,"given":"Carlos Andr\u00e9 Balthazar","family":"da Silveira","sequence":"additional","affiliation":[{"name":"Bahiana School of Medicine and Public Health  Salvador Bahia Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia Adriana","family":"Kasmirski","sequence":"additional","affiliation":[{"name":"University of S\u00e3o Paulo  S\u00e3o Paulo S\u00e3o Paulo USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7383-1284","authenticated-orcid":false,"given":"Diego L.","family":"Lima","sequence":"additional","affiliation":[{"name":"Montefiore Medical Center The Bronx  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leandro Totti","family":"Cavazzola","sequence":"additional","affiliation":[{"name":"Federal University of Rio Grande do Sul  Porto Alegre Rio Grande do Sul USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,9,7]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2013.10.010"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.5603\/AIT.a2015.0023"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/S13017\u2010018\u20100167\u20104"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3389\/FSURG.2020.606539\/BIBTEX"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0000000000000882"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.3389\/FSURG.2020.577104\/FULL"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/S00595\u2010024\u201002899\u20107\/TABLES\/4"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1155\/2014\/245182"},{"key":"e_1_2_9_10_1","article-title":"Promising Results After Vacuum\u2010Assisted Wound Closure and Mesh\u2010Mediated Fascial Traction","volume":"59","author":"Kleif J.","year":"2012","journal-title":"Dan Medical Journal"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1007\/S10029\u2010016\u20101534\u20102"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1136\/BMJ.N71"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/BMJ.I4919"},{"key":"e_1_2_9_14_1","unstructured":"Cochrane Handbook for Systematic Reviews of Interventions.Cochrane Training.https:\/\/training.cochrane.org\/handbook\/current. 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