"Kone\u010Dn\u00E1, K." . "91" . . "Fascial closure of the abdominal wall by dynamic suture after topical negative pressure laparostomy treatment of severe peritonitis--results of a prospective randomized study"@en . . . . . "Anto\u0161, Franti\u0161ek" . . "Ryska, O." . "8"^^ . "I, P(NS10466)" . . "[904D92392B25]" . "1" . . "Between 9/2009 and 9/2011,57 patients with severe peritonitis were included in the study at the Department of Surgery of the Bulovka Faculty Hospital; 28 of them were randomized to the TNP laparostomy group and 29 to the primary closure group. The two groups did not differ in age, gender, polymorbidity and severity of peritonitis. RESULTS: The length of hospital stay was similar in both groups (median: 22 days; range 10-171 days) in the intervention group and 23 days (range 3-71) in the control group (p = 0.89). The mortality rate was significantly lower in the TNP laparostomy group in comparison with the primary closure group (3 patients, 11% vs. 12 patients, 41%; p = 0.01). A complete closure of the abdominal wall including fascia and complete abdominal wall healing was achieved in 80% of survivors in the TNP group, compared to 29% in the primary closure group (p = 0.01). No enteral fistula occurred in any surviving patients from both groups. The overall length of abdominal wall healing was significantly shorter in the TNP group (median: 7; 7-94 days, versus 30; 7-223; p = 0.04). Primary TNP laparostomy is an effective and safe method in the treatment of severe peritonitis. Keeping good clinical practice, especially using dynamic suture as early as after the index surgery and the timely closure of laparostomy as soon as the indication disappears (according to relevant criteria) leads to a significantly higher abdominal wall healing rate, icluding fascial closure, than after peritonitis treatment without laparostomy."@en . "6"^^ . "Dytrych, P." . "Rozhledy v chirurgii" . . "8"^^ . "\u0160erclov\u00E1, Zuzana" . "176773" . "Uz\u00E1v\u011Br st\u011Bny b\u0159i\u0161n\u00ED po laparostomii pro t\u011B\u017Ekou peritonitidu s pou\u017Eit\u00EDm negativn\u00EDho tlaku pomoc\u00ED dynamick\u00E9 fasci\u00E1ln\u00ED sutury.V\u00FDsledky prospektivn\u00ED randomizovan\u00E9 studie."@cs . . "RIV/00064211:_____/12:#0000145!RIV13-MZ0-00064211" . . "0035-9351" . . "V obdob\u00ED 9/2009-9/2011 bylo na Chirurgick\u00E9 klinice FN Na Bulovce do studie za\u0159azeno 57 nemocn\u00FDch, 28 bylo randomizov\u00E1no do skupiny TNP laparostomie a 29 do skupiny s prim\u00E1rn\u00EDm uz\u00E1v\u011Brem. Ob\u011B skupiny byly homogenn\u00ED, neli\u0161ily se v\u011Bkem, polymorbiditou a z\u00E1va\u017Enost\u00ED peritonitidy. V\u00FDsledky: D\u00E9lka hospitalizace byla v obou skupin\u00E1ch stejn\u00E1, medi\u00E1n 22 dn\u00ED (10 -171) v interven\u010Dn\u00ED skupin\u011B a 23 dn\u00ED (3 - 71) ve skupin\u011B kontroln\u00ED (p = 0,89). Mortalita byla ve skupin\u011B TNP laparotomie v\u00FDznamn\u011B ni\u017E\u0161\u00ED (3 nemocn\u00ED -11%) proti skupin\u011B s prim\u00E1rn\u00EDm uz\u00E1v\u011Brem (12 nemocn\u00FDch - 41%) (p = 0,01). Uzav\u0159en\u00ED cel\u00E9 st\u011Bny b\u0159i\u0161n\u00ED v\u010Detn\u011B fascie a jej\u00EDho zhojen\u00ED bylo dosa\u017Eeno v interven\u010Dn\u00ED skupin\u011B v 80 % proti 29 % ve skupin\u011B s prim\u00E1rn\u00ED suturou (p = 0,01). St\u0159evn\u00ED p\u00ED\u0161t\u011Bl nebyla zaznamen\u00E1na ani v jedn\u00E9 skupin\u011B p\u0159e\u017Eiv\u0161\u00EDch nemocn\u00FDch. Celkov\u00E1 d\u00E9lka hojen\u00ED abdomin\u00E1ln\u00ED r\u00E1ny byla signifikantn\u011B krat\u0161\u00ED ve skupin\u011B TNP laparotomie, medi\u00E1n 7 (7 - 94) dn\u00ED versus 30 (7-223)( p = 0,04). Prim\u00E1rn\u00ED TNP laparostomie v l\u00E9\u010Db\u011B t\u011B\u017Ek\u00E9 peritonitidy je \u00FA\u010Dinn\u00E1 a bezpe\u010Dn\u00E1 metoda. P\u0159i dodr\u017Een\u00ED z\u00E1sad spr\u00E1vn\u00E9 techniky, zejm\u00E9na zalo\u017Een\u00ED dynamick\u00E9 sutury ji\u017E p\u0159i prvn\u00ED operaci a v\u010Dasn\u00E9 uzav\u0159en\u00ED laparostomie dle krit\u00E9ri\u00ED, je dosa\u017Eeno signifikantn\u011B vy\u0161\u0161\u00EDho po\u010Dtu zhojen\u00ED st\u011Bny b\u0159i\u0161n\u00ED i s uzav\u0159en\u00EDm fascie ne\u017E p\u0159i o\u0161et\u0159en\u00ED peritonitidy bez laparostomie."@cs . . . "Uz\u00E1v\u011Br st\u011Bny b\u0159i\u0161n\u00ED po laparostomii pro t\u011B\u017Ekou peritonitidu s pou\u017Eit\u00EDm negativn\u00EDho tlaku pomoc\u00ED dynamick\u00E9 fasci\u00E1ln\u00ED sutury.V\u00FDsledky prospektivn\u00ED randomizovan\u00E9 studie." . . . . "Uz\u00E1v\u011Br st\u011Bny b\u0159i\u0161n\u00ED po laparostomii pro t\u011B\u017Ekou peritonitidu s pou\u017Eit\u00EDm negativn\u00EDho tlaku pomoc\u00ED dynamick\u00E9 fasci\u00E1ln\u00ED sutury.V\u00FDsledky prospektivn\u00ED randomizovan\u00E9 studie."@cs . "V obdob\u00ED 9/2009-9/2011 bylo na Chirurgick\u00E9 klinice FN Na Bulovce do studie za\u0159azeno 57 nemocn\u00FDch, 28 bylo randomizov\u00E1no do skupiny TNP laparostomie a 29 do skupiny s prim\u00E1rn\u00EDm uz\u00E1v\u011Brem. Ob\u011B skupiny byly homogenn\u00ED, neli\u0161ily se v\u011Bkem, polymorbiditou a z\u00E1va\u017Enost\u00ED peritonitidy. V\u00FDsledky: D\u00E9lka hospitalizace byla v obou skupin\u00E1ch stejn\u00E1, medi\u00E1n 22 dn\u00ED (10 -171) v interven\u010Dn\u00ED skupin\u011B a 23 dn\u00ED (3 - 71) ve skupin\u011B kontroln\u00ED (p = 0,89). Mortalita byla ve skupin\u011B TNP laparotomie v\u00FDznamn\u011B ni\u017E\u0161\u00ED (3 nemocn\u00ED -11%) proti skupin\u011B s prim\u00E1rn\u00EDm uz\u00E1v\u011Brem (12 nemocn\u00FDch - 41%) (p = 0,01). Uzav\u0159en\u00ED cel\u00E9 st\u011Bny b\u0159i\u0161n\u00ED v\u010Detn\u011B fascie a jej\u00EDho zhojen\u00ED bylo dosa\u017Eeno v interven\u010Dn\u00ED skupin\u011B v 80 % proti 29 % ve skupin\u011B s prim\u00E1rn\u00ED suturou (p = 0,01). St\u0159evn\u00ED p\u00ED\u0161t\u011Bl nebyla zaznamen\u00E1na ani v jedn\u00E9 skupin\u011B p\u0159e\u017Eiv\u0161\u00EDch nemocn\u00FDch. Celkov\u00E1 d\u00E9lka hojen\u00ED abdomin\u00E1ln\u00ED r\u00E1ny byla signifikantn\u011B krat\u0161\u00ED ve skupin\u011B TNP laparotomie, medi\u00E1n 7 (7 - 94) dn\u00ED versus 30 (7-223)( p = 0,04). Prim\u00E1rn\u00ED TNP laparostomie v l\u00E9\u010Db\u011B t\u011B\u017Ek\u00E9 peritonitidy je \u00FA\u010Dinn\u00E1 a bezpe\u010Dn\u00E1 metoda. P\u0159i dodr\u017Een\u00ED z\u00E1sad spr\u00E1vn\u00E9 techniky, zejm\u00E9na zalo\u017Een\u00ED dynamick\u00E9 sutury ji\u017E p\u0159i prvn\u00ED operaci a v\u010Dasn\u00E9 uzav\u0159en\u00ED laparostomie dle krit\u00E9ri\u00ED, je dosa\u017Eeno signifikantn\u011B vy\u0161\u0161\u00EDho po\u010Dtu zhojen\u00ED st\u011Bny b\u0159i\u0161n\u00ED i s uzav\u0159en\u00EDm fascie ne\u017E p\u0159i o\u0161et\u0159en\u00ED peritonitidy bez laparostomie." . . . "Mik\u0161\u00EDkov\u00E1, A." . "Uz\u00E1v\u011Br st\u011Bny b\u0159i\u0161n\u00ED po laparostomii pro t\u011B\u017Ekou peritonitidu s pou\u017Eit\u00EDm negativn\u00EDho tlaku pomoc\u00ED dynamick\u00E9 fasci\u00E1ln\u00ED sutury.V\u00FDsledky prospektivn\u00ED randomizovan\u00E9 studie." . . "topical negative pressure laparostomy; dynamic suture of the abdominal wall; severe peritonitis"@en . "Fascial closure of the abdominal wall by dynamic suture after topical negative pressure laparostomy treatment of severe peritonitis--results of a prospective randomized study"@en . "Marvan, Jaroslav" . . . "Marx, K." . "RIV/00064211:_____/12:#0000145" . . "CZ - \u010Cesk\u00E1 republika" . .