Andreas Bruhin (CH)

9 June 2015

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Video Information

Presentation recorded at the 6th International NPWT Expert Meeting, Berlin 20-21 March 2015.
General surgery workstream


The existing guidelines on the use of NPWT in the open abdomen were presented by Andreas Bruhin based on a recent paper1. A common four – stage classification of the open abdomen has been suggested2, and Dr. Bruhin discussed the management of each one. He concluded that NPWT is key to providing an individualised approach and provides different benefits at different stages, such as wound and fluid management, down-staging of pro-inflammatory cytokines, facilitation of primary fascial closure, splinting skin grafts, and avoiding / managing entero-atmospheric fistulas. 

Reference

1. Bruhin A, Ferreira F, Chariker M, Smith, J, et al., Systematic Review and Evidence Based Recommendations for the use of Negative Pressure Wound Therapy in the Open Abdomen. International Journal of Surgery. 2014. 12; (10):1105–1114.
2. Björck M, Bruhin A, Cheatham M, Hinck D, et al., Classification – Important step to improve management of patients with an open abdomen. World J Surg. 2009. 33; (6):1154-1157.