{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,5]],"date-time":"2026-11-05T08:01:58Z","timestamp":1793865718174,"version":"4.6.1"},"reference-count":37,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2024,8,13]],"date-time":"2024-08-13T00:00:00Z","timestamp":1723507200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>In emergency surgery, managing abdominal sepsis and critically ill patients with imminent abdominal compartment syndrome (ACS) using an open abdomen (OA) approach has become standard practice for damage control. To prevent significant complications associated with OA therapy, such as abdominal infections, entero-atmospheric fistula (EAF), and abdominal wall hernia formation, early definitive fascial closure (DFC) is crucial. This study aims to assess the feasibility of a novel device designed to facilitate early fascial closure in patients with an open abdomen.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2019 and 2020, nine patients undergoing open abdomen management were enrolled in this study. All patients were treated using vertical mesh-mediated fascial traction combined with a novel vertical traction device (VTD). Data from these cases were collected and retrospectively analyzed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In this study, all patients were treated with OA due to impending ACS. Three patients died before achieving DFC, while the remaining six patients successfully underwent DFC. The mean number of surgical procedures after OA was 3\u2009\u00b1\u20091, and the mean time to DFC was 9\u2009\u00b1\u20093 days. The use of the VTD in combination with negative pressure wound therapy (NPWT) resulted in a 76% reduction in fascia-to-fascia distance until DFC was achieved. The application of the VTD did not affect ventilation parameters or the Simplified Acute Physiology Score II (SAPS II), but intra-abdominal pressure (IAP) was reduced from 31\u2009\u00b1\u20098\u2005mmHg prior to OA to 8.5\u2009\u00b1\u20092\u2005mmHg after applying the device. The primary complication associated with the device was skin irritation, with three patients developing skin blisters as the most severe manifestation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Overall, the novel VTD appears to be a safe and feasible option for managing OA cases. It may reduce complications associated with OA by promoting early definitive fascial closure.<\/jats:p><\/jats:sec>","DOI":"10.3389\/fsurg.2024.1449702","type":"journal-article","created":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T20:45:08Z","timestamp":1723754708000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":14,"title":["Evaluating a novel vertical traction device for early closure in open abdomen management: a consecutive case series"],"prefix":"10.3389","volume":"11","author":[{"given":"J.","family":"Dohmen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D.","family":"Weissinger","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A. S. T.","family":"Peter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Theodorou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J. C.","family":"Kalff","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B.","family":"Stoffels","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P.","family":"Lingohr","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"M.","family":"von Websky","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2024,8,13]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"7","DOI":"10.1186\/s13017-018-0167-4","article-title":"The open abdomen in trauma and non-trauma patients: WSES guidelines","volume":"13","author":"Coccolini","year":"2018","journal-title":"World J Emerg Surg"},{"key":"B2","doi-asserted-by":"publisher","first-page":"10","DOI":"10.1186\/s13017-017-0123-8","article-title":"IROA: international register of open abdomen, preliminary results","volume":"12","author":"Coccolini","year":"2017","journal-title":"World J Emerg Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"1365","DOI":"10.1097\/01.ta.0000196004.49422.af","article-title":"Complications after 344 damage-control open celiotomies","volume":"59","author":"Miller","year":"2005","journal-title":"J Trauma Inj Infect Critical Care"},{"key":"B4","doi-asserted-by":"publisher","first-page":"32","DOI":"10.1186\/s13017-015-0026-5","article-title":"The open abdomen, indications, management and definitive closure","volume":"10","author":"Coccolini","year":"2015","journal-title":"World J Emerg Surg"},{"key":"B5","doi-asserted-by":"publisher","first-page":"274","DOI":"10.1016\/j.jcrc.2018.07.024","article-title":"Decompressive laparotomy for the treatment of the abdominal compartment syndrome during extracorporeal membrane oxygenation support","volume":"47","author":"Glowka","year":"2018","journal-title":"J Crit Care"},{"key":"B6","doi-asserted-by":"publisher","first-page":"130","DOI":"10.1186\/s13613-020-00746-9","article-title":"Intra-abdominal hypertension and abdominal compartment syndrome in patients admitted to the ICU","volume":"10","author":"Smit","year":"2020","journal-title":"Ann Intensive Care"},{"key":"B7","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1186\/s13054-018-2103-0","article-title":"Effect of decompressive laparotomy on organ function in patients with abdominal compartment syndrome: a systematic review and meta-analysis","volume":"22","author":"Damme","year":"2018","journal-title":"Crit Care"},{"key":"B8","doi-asserted-by":"publisher","first-page":"22","DOI":"10.1186\/s13017-015-0016-7","article-title":"The duration of intra-abdominal hypertension strongly predicts outcomes for the critically ill surgical patients: a prospective observational study","volume":"10","author":"Kyoung","year":"2015","journal-title":"World J Emerg Surg"},{"key":"B9","doi-asserted-by":"publisher","first-page":"1105","DOI":"10.1016\/j.ijsu.2014.08.396","article-title":"Systematic review and evidence based recommendations for the use of negative pressure wound therapy in the open abdomen","volume":"12","author":"Bruhin","year":"2014","journal-title":"Int J Surg"},{"key":"B10","doi-asserted-by":"publisher","first-page":"969","DOI":"10.1097\/00005373-200011000-00033","article-title":"Damage control: collective review","volume":"49","author":"Shapiro","year":"2000","journal-title":"J Trauma Inj Infect Critical Care"},{"key":"B11","doi-asserted-by":"publisher","first-page":"891","DOI":"10.1177\/000313480807401002","article-title":"A prospective Look at the current state of open abdomens","volume":"74","author":"Teixeira","year":"2008","journal-title":"Am Surg"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e429","DOI":"10.1111\/j.1463-1318.2012.03045.x","article-title":"The open abdomen and temporary abdominal closure systems \u2013 historical evolution and systematic review","volume":"14","author":"Quyn","year":"2012","journal-title":"Colorectal Dis"},{"key":"B13","doi-asserted-by":"publisher","first-page":"135","DOI":"10.1016\/j.jamcollsurg.2012.09.004","article-title":"Abdominal compartment syndrome: a decade of progress","volume":"216","author":"Carr","year":"2013","journal-title":"J Am Coll Surgeons"},{"key":"B14","doi-asserted-by":"publisher","first-page":"15","DOI":"10.1007\/s00423-015-1353-4","article-title":"Acute abdominal compartment syndrome: current diagnostic and therapeutic options","volume":"401","author":"Hecker","year":"2015","journal-title":"Langenbecks Arch Surg"},{"key":"B15","doi-asserted-by":"publisher","first-page":"777","DOI":"10.1016\/j.surg.2012.07.015","article-title":"Factors affecting primary fascial closure of the open abdomen in the nontrauma patient","volume":"152","author":"Goussous","year":"2012","journal-title":"Surgery"},{"key":"B16","doi-asserted-by":"publisher","first-page":"e14","DOI":"10.1016\/j.pbj.0000000000000014","article-title":"The open abdomen: analysis of risk factors for mortality and delayed fascial closure in 101 patients","volume":"3","author":"Morais","year":"2018","journal-title":"Porto Biomed J"},{"key":"B17","doi-asserted-by":"publisher","first-page":"113","DOI":"10.1097\/ta.0b013e31827891ce","article-title":"Open abdominal management after damage-control laparotomy for trauma","volume":"74","author":"Dubose","year":"2013","journal-title":"J Trauma Acute Care"},{"key":"B18","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1186\/cc8857","article-title":"Laparostomy: why and when?","volume":"14","author":"Lepp\u00e4niemi","year":"2010","journal-title":"Critical Care"},{"key":"B19","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1007\/s10029-020-02336-x","article-title":"Factors influencing the fascial closure rate after open abdomen treatment: results from the European hernia society (EuraHS) registry","volume":"26","author":"Willms","year":"2022","journal-title":"Hernia"},{"key":"B20","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1007\/s00423-014-1240-4","article-title":"Management of the open abdomen using vacuum-assisted wound closure and mesh-mediated fascial traction","volume":"400","author":"Willms","year":"2015","journal-title":"Langenbeck\u2019s Archives Surg"},{"key":"B21","doi-asserted-by":"publisher","first-page":"4717","DOI":"10.1007\/s00464-017-5547-4","article-title":"Delayed closure of open abdomen in septic patients treated with negative pressure wound therapy and dynamic fascial suture: the long-term follow-up study","volume":"31","author":"Hofmann","year":"2017","journal-title":"Surg Endosc"},{"key":"B22","doi-asserted-by":"publisher","first-page":"577104","DOI":"10.3389\/fsurg.2020.577104","article-title":"Dynamic fascial closure with vacuum-assisted wound closure and mesh-mediated fascial traction (VAWCM) treatment of the open abdomen\u2014an updated systematic review","volume":"7","author":"Petersson","year":"2020","journal-title":"Frontiers Surg"},{"key":"B23","doi-asserted-by":"publisher","first-page":"2724","DOI":"10.1007\/s00268-008-9762-y","article-title":"Treatment of the open abdomen with the commercially available vacuum-assisted closure system in patients with abdominal sepsis: low primary closure rate","volume":"32","author":"Wondberg","year":"2008","journal-title":"World J Surg"},{"key":"B24","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1155\/2020\/8254804","article-title":"Prevention of fascial retraction in the open abdomen with a novel device","volume":"2020","author":"Hees","year":"2020","journal-title":"Case Reports Surg"},{"key":"B25","doi-asserted-by":"publisher","first-page":"82","DOI":"10.1186\/s12893-019-0543-3","article-title":"A new device to prevent fascial retraction in the open abdomen \u2013 proof of concept in vivo","volume":"19","author":"Eickhoff","year":"2019","journal-title":"Bmc Surg"},{"key":"B26","doi-asserted-by":"publisher","first-page":"2075","DOI":"10.1007\/s00423-021-02424-1","article-title":"Vertical traction device prevents abdominal wall retraction and facilitates early primary fascial closure of septic and non-septic open abdomen","volume":"407","author":"Fung","year":"2022","journal-title":"Langenbeck\u2019s Arch Surg"},{"key":"B27","doi-asserted-by":"publisher","first-page":"sti44\/1781","DOI":"10.52198\/24.sti.44.hr1781","article-title":"Vertical mesh-mediated fascial traction and negative pressure wound therapy: a case series of nine patients in general and vascular surgery","volume":"44","author":"Mones","year":"2024","journal-title":"Surg Technol Int"},{"key":"B28","doi-asserted-by":"publisher","first-page":"14","DOI":"10.1186\/s13741-018-0094-7","article-title":"Clinical agreement in the American society of anesthesiologists physical status classification","volume":"7","author":"Knuf","year":"2018","journal-title":"Perioper Medicine"},{"key":"B29","doi-asserted-by":"publisher","first-page":"9729814","DOI":"10.1155\/2020\/9729814","article-title":"Dermatological manifestations in the intensive care unit: a practical approach","volume":"2020","author":"Badia","year":"2020","journal-title":"Critical Care Res Pract"},{"key":"B30","doi-asserted-by":"publisher","first-page":"259","DOI":"10.1055\/s-0042-119303","article-title":"Prognosefaktoren der offenen abdominalbehandlung in der viszeralchirurgie","volume":"142","author":"von Websky","year":"2017","journal-title":"Zentralblatt F R Chir"},{"key":"B31","doi-asserted-by":"publisher","first-page":"3044","DOI":"10.1007\/s00268-019-05166-w","article-title":"Management of open abdomen after trauma laparotomy: a comparative analysis of dynamic fascial traction and negative pressure wound therapy systems","volume":"43","author":"Wang","year":"2019","journal-title":"World J Surg"},{"key":"B32","doi-asserted-by":"publisher","first-page":"2348","DOI":"10.1007\/s00268-011-1210-8","article-title":"Delayed primary closure of the septic open abdomen with a dynamic closure system","volume":"35","author":"Verdam","year":"2011","journal-title":"World J Surg"},{"key":"B33","doi-asserted-by":"publisher","first-page":"216","DOI":"10.1177\/1457496918818979","article-title":"Vacuum-assisted wound closure and permanent onlay mesh\u2013mediated fascial traction: a novel technique for the prevention of incisional hernia after open abdomen therapy including results from a retrospective case series","volume":"108","author":"Petersson","year":"2018","journal-title":"Scand J Surg"},{"key":"B34","doi-asserted-by":"publisher","first-page":"1182","DOI":"10.1097\/sla.0000000000003440","article-title":"The significance of visceral protection in preventing enteroatmospheric fistulae during open abdomen treatment in patients with secondary peritonitis: a propensity score-matched case-control analysis","volume":"273","author":"Willms","year":"2019","journal-title":"Ann Surg"},{"key":"B35","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1016\/j.amsu.2020.06.007","article-title":"Cost evaluation of temporary abdominal closure methods in abdominal sepsis patients successfully treated with an open abdomen. Should we take temporary abdominal closure methods at face value? Health economic evaluation","volume":"56","author":"Betancourt","year":"2020","journal-title":"Ann Med Surg (Lond)"},{"key":"B36","doi-asserted-by":"publisher","first-page":"263","DOI":"10.1177\/145749690709600402","article-title":"Small bowel fistulas and the open abdomen","volume":"96","author":"Becker","year":"2007","journal-title":"Scand J Surg"},{"key":"B37","first-page":"425","article-title":"Review of abdominal damage control and open abdomens: focus on gastrointestinal complications","volume":"19","author":"Smith","year":"2010","journal-title":"J Gastrointest Liver Dis Jgld"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2024.1449702\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,15]],"date-time":"2024-08-15T20:45:35Z","timestamp":1723754735000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2024.1449702\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,8,13]]},"references-count":37,"alternative-id":["10.3389\/fsurg.2024.1449702"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2024.1449702","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,8,13]]},"article-number":"1449702"}}