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Assessment of Peritoneal Immune Response in Patients With Severe Intra-abdominal Sepsis Managed With Laparostomy and Vacuum Assisted Closure (VAC)

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT01410526
Recruitment Status : Unknown
Verified May 2011 by Aristotle University Of Thessaloniki.
Recruitment status was:  Recruiting
First Posted : August 5, 2011
Last Update Posted : August 5, 2011
Sponsor:
Information provided by:
Aristotle University Of Thessaloniki

No Study Results Posted on ClinicalTrials.gov for this Study
Recruitment Status : Unknown
Estimated Primary Completion Date : May 2013
Estimated Study Completion Date : August 2013
Publications:
1.Calandra T, Cohne J. The international sepsis forum consensus conference on definitions of infection in the intensive care unit. Crit Care Med 2005;33:1538-48. 2.Pieracci F, Barie PS. Intrabdominal infections. Curr Opin Crit Care. 2007;13:440-9. 3.Ordoñez CA, Puyana JC. Management of peritonitis in the critically ill patient. Surg Clin North Am 2006;86:1323-49. 4.Stawicki SP, Brooks A, Bilski T et al. The concept of damage control: Extending paradigm to emergency general surgery. Injury 2008;39:93-101. 5.Duff JH, Moffat J. Abdominal sepsis managed by leaving abdomen open. Surgery. 1981;90(4):774-8. 6.Barker DE, Green JM, Maxwell RA, et al. Experience with vacuum-pack temporary abdominal wound closure in 258 trauma and general and vascular surgical patients. J Am Coll Surg 2007;204:784-92 7. Perez D, Wildi S, Demartines N et al. Prospective evaluation of vacuum-assisted closure in abdominal compartment syndrome and severe abdominal sepsis. J Am Coll Surg 2007;205:586-92. 8.Management of the Open Abdomen: From Initial Operation to Definitive Closure. Open abdomen advisory panel: Co-Editors: D. Vargo, J. D. Richardson. Advisory panel: A. Cambell, M. Chang, T. Fabian, M. Franz, M. Kaplan, F. Moore, R. L. Reed, B. Scott, R. Silverman. Am Surg. 2009;75:S1-22. 9.Blackwell TS, Christman JW. Sepsis and cytokines: current status. British J Anaesth. 1996;77:110-7. 10.Oberholzer A, Souza S, Tschoeke S et al. Plasma cytokine measurements augment prognostic scores as indicators of outcome in patients with severe sepsis. Shock. 2005;23(6):488-93.
11.Cogos CA, Drosou E, Bassaris HP et al. Pro-versus anti- inflammatory cytokines profile in patients with severe sepsis: a marker for prognosis and future therapeutic options. J Infect Dis. 2000;181:176-80. 12.Dimopoulou I, Armaganidis A, Douka E et al. Tumour necrosis factor-alpha (TNFa) and interleukin-10 are crucial mediators in post-operative inflammatory response and determine the occurrence of complications after major abdominal surgery. Cytokine 2007;37:55-61. 13.Pettila V, Hynninen M, Takkunen O et al. Predictive value of procalcitonin and interleukin 6 in critically ill patients with suspected sepsis. Intensive Care Med. 2002;28:1220-5. 14.Scheingraber S, Bauerfeilnd F, Bohme J, Dralle H. Limits of peritoneal cytokine measure ements during abdominal lavage treatment for intra-abdominal sepsis. Am J Surg. 2001;18:301-8. 15.Jansson K, Redler B, Truedsson L et al. Intraperitoneal cytokine response after major surgery: higher postoperative intraperitoneal versus systemic cytokine levels suggest the gastrointestinal tract as the major source of the postoperative inflammatory reaction. Am J Surg. 2004;187:372-7 16.Decker D, Tolba R, Spinger W et al. Abdominal surgical interventions: local and systemic conseqouences for the immune system - a prospective study on elective gastrointestinal surgery. J Surg Research. 2005;126:12-8. 17.van Berge Henegouwen M, van der Poll T, van Deventer S, Gouma D. Peritoneal cytokine release after elective gastrointestinal surgery and postoperative complications. Am J Surg. 1998;175:311-6 18.Pedersen M, Qvist N, Bisgaard C et al. Peritoneal microdialysis. Early diagnosis of anastomotic leakage after low anterior resection for rectosigmoid cancer. Scan J Surg. 2009;98:148-54. 19.Pliakos I, Papavramidis TS, Mihalopoulos N et al. Vacuum assisted closure in severe abdominal sepsis with or without retention sutured sequential fascial closure: a clinical trial. Surgery. 2010;148(5):947-53.