{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T03:21:21Z","timestamp":1776914481103,"version":"3.51.2"},"reference-count":27,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2013,5,24]],"date-time":"2013-05-24T00:00:00Z","timestamp":1369353600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2013,5,24]],"date-time":"2013-05-24T00:00:00Z","timestamp":1369353600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2013,5,24]],"date-time":"2013-05-24T00:00:00Z","timestamp":1369353600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"funder":[{"DOI":"10.13039\/501100003252","name":"Lunds Universitet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100003252","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100011077","name":"Sk\u00e5nes universitetssjukhus","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100011077","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2013,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Open abdomen (OA) therapy frequently results in a giant planned ventral hernia. Vacuum\u2010assisted wound closure and mesh\u2010mediated fascial traction (VAWCM) enables delayed primary fascial closure in most patients, even after prolonged OA treatment. Our aim was to study the incidence of hernia and abdominal wall discomfort 1 year after abdominal closure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A prospective multicenter cohort study of 111 patients undergoing OA\/VAWCM was performed during 2006\u20132009. Surviving patients underwent clinical examination, computed tomography (CT), and chart review at 1 year. Incisional and parastomal hernias and abdominal wall symptoms were noted.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The median age for the 70 surviving patients was 68 years, 77 % of whom were male. Indications for OA were visceral pathology (<jats:italic>n<\/jats:italic> = 40), vascular pathology (<jats:italic>n<\/jats:italic> = 22), or trauma (<jats:italic>n<\/jats:italic> = 8). Median length of OA therapy was 14\u00a0days. Among 64 survivors who had delayed primary fascial closure, 23 (36 %) had a clinically detectable hernia and another 19 (30 %) had hernias that were detected on CT (<jats:italic>n<\/jats:italic> = 18) or at laparotomy (<jats:italic>n<\/jats:italic> = 1). Symptomatic hernias were found in 14 (22 %), 7 of them underwent repair. The median hernia widths in symptomatic and asymptomatic patients were 7.3 and 4.8\u00a0cm, respectively (<jats:italic>p<\/jats:italic> = 0.031) with median areas of 81.0 and 42.9\u00a0cm<jats:sup>2<\/jats:sup>, respectively (<jats:italic>p<\/jats:italic> = 0.025). Of 31 patients with a stoma, 18 (58 %) had a parastomal hernia. Parastomal hernia (odds ratio 8.9; 95 % confidence interval 1.2\u201368.8) was the only independent factor associated with an incisional hernia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Incisional hernia incidence 1 year after OA therapy with VAWCM was high. Most hernias were small and asymptomatic, unlike the giant planned ventral hernias of the past.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-013-2082-x","type":"journal-article","created":{"date-parts":[[2013,5,23]],"date-time":"2013-05-23T16:52:33Z","timestamp":1369327953000},"page":"2031-2038","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":37,"title":["One\u2010Year Follow\u2010up After Open Abdomen Therapy With Vacuum\u2010Assisted Wound Closure and Mesh\u2010Mediated Fascial Traction"],"prefix":"10.1002","volume":"37","author":[{"given":"Thordur","family":"Bjarnason","sequence":"first","affiliation":[{"name":"Department of Clinical Sciences Lund University Malm\u00f6 Sweden"},{"name":"Department of Surgery Sk\u00e5ne University Hospital 205 02 Malm\u00f6 Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Montgomery","sequence":"additional","affiliation":[{"name":"Department of 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