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Anipchenko A.N.

Moscow Regional Research Clinical Institute

Allakhverdyan A.S.

Moscow regional research and clinical institute (MONIKI),Department of oncology

Levchuk A.L.

Pirogov National Medical Surgical Center

Panin S.I.

Volgograd State Medical University

Fedorov A.V.

Vishnevsky National Medical Research Center for Surgery;
Russian Society of Surgeons

Koblenz algorithm for open abdomen management

Authors:

Anipchenko A.N., Allakhverdyan A.S., Levchuk A.L., Panin S.I., Fedorov A.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2021;(7): 65‑70

DOI: 10.17116/hirurgia202107165

Read: 6247 times

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Table of contents

KOBLENZ ALGORITHM FOR OPEN ABDOMEN MANAGEMENT
KOBLENZ ALGORITHM FOR OPEN ABDOMEN MANAGEMENT

To cite this article:

Anipchenko AN, Allakhverdyan AS, Levchuk AL, Panin SI, Fedorov AV. Koblenz algorithm for open abdomen management. Pirogov Russian Journal of Surgery. 2021;(7):65‑70. (In Russ.)
https://doi.org/10.17116/hirurgia202107165

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

The issue of laparostomy treatment is still controversial, since there are insufficient evidence-based data. German military surgeons have developed and implemented the «Koblenz algorithm» of laparostomy treatment into everyday practice. The algorithm was developed at the Bundeswehr Central Hospital in Koblenz (Germany). Today, approximately 50% of German civilian hospitals use the «Koblenz algorithm». The database for laparostomy treatment was created on the basis of international platform European Registry of Abdominal wall Hernias (EuraHS) in May 2015. These data will be valuable for further multipla-center studies. This manuscript is devoted to analysis of clinical effectiveness of the «Koblenz algorithm» in the treatment of patients with laparostomy. Searching of Russian, English and German studies devoted to «Koblenz algorithm» in the treatment of patients with laparostomy was carried out in the eLIBRARY, Elektronische Zeitschriftenbibliothek, the Cochrane Library and the PubMed databases. The authors comprehensively described «Koblenz algorithm». Mortality in the group of VAC — therapy was 57% (31/54), in case of «Koblenz algorithm» — 33% (33/100). Between-group differences were significant (OR 0.36, 95% CI 0.18—0.72, p=0.003). However, an efficacy of «Koblenz algorithm» should be confirmed in further multiple-center studies including national evidence-based trials.

Keywords:

laparotomy
intestinal fistula
vacuum treatment
koblenz algorithm of laparostomy treatment
laparostomy register

Authors:

Anipchenko A.N.

Moscow Regional Research Clinical Institute

Allakhverdyan A.S.

Moscow regional research and clinical institute (MONIKI),Department of oncology

Levchuk A.L.

Pirogov National Medical Surgical Center

Panin S.I.

Volgograd State Medical University

Fedorov A.V.

Vishnevsky National Medical Research Center for Surgery;
Russian Society of Surgeons

Received:

30.09.2020

Accepted:

29.10.2020

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