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European Journal of Plastic Surgery
Published in: European Journal of Plastic Surgery 6/2019

01-12-2019 | Wound Infection | Original Paper

The effect of TopClosure® TRS in the treatment of large abdominal wall defect

Authors: Xiaoli Wang, Zhanyong Zhu, Yueqiang Zhao, Mosheng Yu, Moris Topaz

Published in: European Journal of Plastic Surgery | Issue 6/2019

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Abstract

Background

Large abdominal wall defects, which are not suitable for primary closure partly due to the expected high tension closure and the considerable rate of recurrence, represent a substantial reconstructive challenge. The study is aimed to evaluate the clinical value of TopClosure® Tension-Relief System (TRS) in the treatment of large abdominal wall defect.

Methods

Thirteen patients with large abdominal wall defect were treated using TopClosure® TRS, and the average healing time, patients’ satisfaction, and complication were recorded.

Results

After being treated with TopClosure® TRS, 10 cases were primary healing, three-case second-intention healing due to the thickened abdominal wall with mild scar. The average healing time and hospitalization time are shortened, while the primary healing rate and VAS satisfactory value improved. Logistic regression analyses indicated that age, BMI, defect area, wound infection, and diabetes may influence the effect of TopClosure® TRS in the repair of large abdominal wall defect.

Conclusion

Large abdominal wall defect can be treated using TopClosure® TRS, effectively and easily, which can be generalized to be used in clinics.
Level of evidence: Level IV, therapeutic study.
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Metadata
Title
The effect of TopClosure® TRS in the treatment of large abdominal wall defect
Authors
Xiaoli Wang
Zhanyong Zhu
Yueqiang Zhao
Mosheng Yu
Moris Topaz
Publication date
01-12-2019
Publisher
Springer Berlin Heidelberg
Keyword
Wound Infection
Published in
European Journal of Plastic Surgery / Issue 6/2019
Print ISSN: 0930-343X
Electronic ISSN: 1435-0130
DOI
https://doi.org/10.1007/s00238-019-01516-y

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