RESULTS
The vacuum pack technique was used 216 times in 112
trauma patients requiring open abdominal management during
the review period. The initial indications for open abdominal
management are listed in Table 2. The indications for
each vacuum pack placement are listed in Table 3.
Patient ages ranged from 5 years to 80 years (mean, 38.9
16.85 years). There were 27 (24.1%) female and 85 (75.9%)
male patients. Mechanisms of injury were blunt in 77 patients
(68.8%) and penetrating in 35 patients (31.2%) and are shown
in Table 4. Mean Injury Severity Score was 27.5 (range, 5 to
75 14.09). Twenty-nine patients died for an overall hospital
mortality of 25.9%.
Fifty-six patients (50.0%) had a single vacuum pack application,
which remained in place from 1 to 6 days (mean,
1.9 days 1.10). Excluding patients who died after a single
vacuum pack placement, mean time to closure was 2.2
1.12 days (range, 1 to 6 days). Fifty-six patients (50.0%) had
multiple applications over 1 to 34 days (mean, 7.1 6.19
RESULTSThe vacuum pack technique was used 216 times in 112trauma patients requiring open abdominal management duringthe review period. The initial indications for open abdominalmanagement are listed in Table 2. The indications foreach vacuum pack placement are listed in Table 3.Patient ages ranged from 5 years to 80 years (mean, 38.9 16.85 years). There were 27 (24.1%) female and 85 (75.9%)male patients. Mechanisms of injury were blunt in 77 patients(68.8%) and penetrating in 35 patients (31.2%) and are shownin Table 4. Mean Injury Severity Score was 27.5 (range, 5 to75 14.09). Twenty-nine patients died for an overall hospitalmortality of 25.9%.Fifty-six patients (50.0%) had a single vacuum pack application,which remained in place from 1 to 6 days (mean,1.9 days 1.10). Excluding patients who died after a singlevacuum pack placement, mean time to closure was 2.2 1.12 days (range, 1 to 6 days). Fifty-six patients (50.0%) hadmultiple applications over 1 to 34 days (mean, 7.1 6.19
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