OC-028 USING THE VACUUM ASSISTED “FRENCH FRY” TECHNIQUE (FFT) FOR WOUND CLOSURE IN CONTAMINATED OPEN ABDOMINAL WALL RECONSTRUCTION (AWR)

Abstract Introduction In some settings, it is not appropriate to close wounds primarily, such as when patients are felt be at high risk for wound infection. FFT a useful method of closure in these following open AWR. Methods A consecutive series were closed with AWR from 2019–2022. The includes cutting vacuum-assisted (VAC) sponge into 1×1×8cm segments that partially placed through an otherwise wound. skin VAC over the and external portion FFs. Patient characteristics, operative details, postoperative outcomes collected. Standard descriptive statistics reported. Results Wound was performed 15 patients. Patients 63.8±13.1 years old, mean BMI 31.1±6.5 kg/m2, there history tobacco use 40.0% patients, diabetes 46.7%, prior failed hernia repair 11(73.3%). Almost all had CDC class 3 or 4(13, 86.7%) wounds, defect size 144[8, 310]cm2. Biologic mesh 9(60.0%), no used 6(40.0%). complication based on CeDAR score 59.5±15.1%. There 2(13.3%) 30-day readmissions, including 1(6.7%) infection reopened bedside. other complications. Conclusions alternative significantly at-risk undergoing present study describes high-risk, complex only 1 having complication.