Temporary Abdominal Closure Techniques: A Prospective Randomized Trial Comparing Polyglactin 910 Mesh and Vacuum-Assisted Closure

Abstract

MESH and VAC are both useful methods for abdominal coverage, and are equally likely to produce delayed primary closure. The fistula rate for VAC is most likely due to continued bowel manipulation with VAC changes with a feeding tube in place-enteral feeds should be administered via nasojejunal tube. Neither method precludes secondary abdominal wall reconstruction.