Yang Li,Pei-Yuan Li,Shi-Jing Sun,Yuan-Zhang Yao,Zhan-Fei Li,Tao Liu,Fan Yang,Lian-Yang Zhang,Xiang-Jun Bai,Jing-Shan Huo,Wu-Bing He,Jun Ouyang,Lei Peng,Ping Hu,Yan-An Zhu,Ping Jin,Qi-Feng Shao,Yan-Feng Wang,Rui-Wu Dai,Pei-Yang Hu,Hai-Ming Chen,Ge-Fei Wang,Yong-Gao Wang,Hong-Xu Jin,Chang-Ju Zhu,Qi-Yong Zhang,Biao Shao,Xi-Guang Sang,Chang-Lin Yin.Please quote: Tian Y, Liu GE, Zhao WJ, Peng YY, Song SM, Li L. Review of Chinese Journal of Traumatology in the year 2018. Chin J Traumatol. 2019;22(1):21–23. doi:10.1016/j.cjtee.2019.01.001[J].Chin J Traumatol,2019,22(1):1-11. 10.1016/j.cjtee.2018.10.005
Chinese Trauma Surgeon Association for management guidelines of vacuum sealing drainage application in abdominal surgeriesdUpdate and systematic review
  
DOI：10.1016/j.cjtee.2018.10.005
KeyWord: GuidelineVacuum sealing drainageAbdominal surgery
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Author NameAffiliation
Yang Li Trauma Center of PLA, State Key Laboratory of Trauma, Burns and Combined Injury, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, China 
Pei-Yuan Li Trauma Center of PLA, State Key Laboratory of Trauma, Burns and Combined Injury, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, China 
Shi-Jing Sun Trauma Center of PLA, State Key Laboratory of Trauma, Burns and Combined Injury, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, China 
Yuan-Zhang Yao Trauma Center of PLA, State Key Laboratory of Trauma, Burns and Combined Injury, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, China 
Zhan-Fei Li Trauma Center/Department of Emergency and Trauma Surgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China 
Tao Liu Trauma Center/Department of Emergency and Trauma Surgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China 
Fan Yang Trauma Center/Department of Emergency and Trauma Surgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China 
Lian-Yang Zhang Trauma Center of PLA, State Key Laboratory of Trauma, Burns and Combined Injury, Institute of Surgery Research, Daping Hospital, Third Military Medical University, Chongqing, China 
Xiang-Jun Bai Trauma Center/Department of Emergency and Trauma Surgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science & Technology, Wuhan, China 
Jing-Shan Huo Foshan Hospital of Traditional Chinese Medicine, Foshan, Guangzhou Province, China 
Wu-Bing He Fujian Provincial Hospital, Fuzhou, China 
Jun Ouyang Emergency Surgery of the First Affiliated Hospital, Shihezi University School of Medicine, Shihezi, Xinjiang Autonomous Region, China 
Lei Peng The First Affiliated Hospital of Hainan Medical University, Haikou, China 
Ping Hu Chongqing Emergency Medical Center, Chongqing, China 
Yan-An Zhu Taizhou Hospital of Zhejiang Province, Taizhou, Zhejiang Province, China 
Ping Jin Yuyao People's Hospital of Zhejiang Province, Yuyao, Zhejiang Province, China 
Qi-Feng Shao Ninth People's Hospital of Zhengzhou, Zhengzhou, China 
Yan-Feng Wang Zhongnan Hospital of Wuhan University, Wuhan, China 
Rui-Wu Dai Chengdu Military General Hospital, Chengdu, China 
Pei-Yang Hu Tiantai County People's Hospital, Tiantai, Zhejiang, China 
Hai-Ming Chen The First Affiliated Hospital of Nanchang University, Nanchang, China 
Ge-Fei Wang Department of Surgery, Jinling Hospital, Medical School of Nanjing University, Nanjing, China 
Yong-Gao Wang Department of Surgery, The First Affiliated Hospital of Zhejiang Chinese Medical University, Hangzhou, China 
Hong-Xu Jin Shenyang Military General Hospital, Shenyang, China 
Chang-Ju Zhu The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China 
Qi-Yong Zhang The Affiliated Hospital of Guizhou Medical University, Guiyang, China 
Biao Shao The First People's Hospital of Kunming, Kunming, China 
Xi-Guang Sang Qilu Hospital of Shandong University, Jinan, China 
Chang-Lin Yin The First Affiliated Hospital of Third Military Medical University, Chongqing, China 
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Abstract:
      Vacuum sealing drainage (VSD) is frequently used in abdominal surgeries. However, relevant guidelines are rare. Chinese Trauma Surgeon Association organized a committee composed of 28 experts across China in July 2017, aiming to provide an evidence-based recommendation for the application of VSD in abdominal surgeries. Eleven questions regarding the use of VSD in abdominal surgeries were addressed: (1) which type of materials should be respectively chosen for the intraperitoneal cavity, retroperitoneal cavity and superficial incisions? (2) Can VSD be preventively used for a high-risk abdominal incision with primary suture? (3) Can VSD be used in severely contaminated/infected abdominal surgical sites? (4) Can VSD be used for temporary abdominal cavity closure under some special conditions such as severe abdominal trauma, infection, liver transplantation and intra-abdominal volume increment in abdominal compartment syndrome? (5) Can VSD be used in abdominal organ inflammation, injury, or postoperative drainage? (6) Can VSD be used in the treatment of intestinal fistula and pancreatic fistula? (7) Can VSD be used in the treatment of intra-abdominal and extra-peritoneal abscess? (8) Can VSD be used in the treatment of abdominal wall wounds, wound cavity, and defects? (9) Does VSD increase the risk of bleeding? (10) Does VSD increase the risk of intestinal wall injury? (11) Does VSD increase the risk of peritoneal adhesion? Focusing on these questions, evidence-based recommendations were given accordingly. VSD was strongly recommended regarding the questions 2e4. Weak recommendations were made regarding questions 1 and 5e11. Proper use of VSD in abdominal surgeries can lower the risk of infection in abdominal incisions with primary suture, treat severely contaminated/infected surgical sites and facilitate temporary abdominal cavity closure. Please quote: Li Y, Li PY, Sun SJ, et al. Chinese Trauma Surgeon Association for management guidelines of vacuum sealing drainage application in abdominal surgeries-Update and systematic review. Chin J Traumatol. 2019;22(1):1–11. doi:10.1016/j.cjtee.2018.10.005
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