Damage control surgery is one of the reasons for leaving an abdomen open initially. This leads to gaping and open abdominal wound. This open abdominal wound can be due to traumatic loss of abdominal wall and oedematous intestine and omentum due to peritonitis. Sometimes this closure is either not possible at all or can be achieved by closure under tension. (JPMA 66: 980 2016)Įxploratory laparotomy is done for various reasons with closure of the wound being the primary aim after completion of the procedure. Keywords: Open abdominal wound, Bogota bag, Closure technique, Complications. There were 7(12.8%) postoperative deaths due to the disease process and were unrelated to the closure technique.Ĭonclusion: Bogota bag was an effective means of closure of open abdominal wound and prevented the complications due to open abdominal wounds or closure under tension.
No patient developed complication due to exposure or abdominal compartment. Five (9.09%) patients developed small bowel fistula which was managed conservatively.
#Evisceration the visitor returns skin
In 36(65.45%) cases managed with Bogota bag, healing occurred by granulation tissue or skin grafting/flaps were applied and these patients developed hernia. In 19(34.55%) patients, delayed primary closure was possible, so the Bogota was used temporarily. Bogota bag was applied in all (100%) of them.
There was traumatic loss in 34(61.8%), oedematous gut and omentum in 15(27.27%) and gangrenous abdominal wall in 6(10.9%) patients. SPSS 18 was used for statistical analysis. They were managed with Bogota bag for abdominal closure. Methods: The descriptive study was conducted at Mayo Hospital, Lahore, Pakistan, from September 2011 to February2015, and comprised patients who underwent laparotomy and peritoneal cavities and who could not be closed primarily because of various reasons like traumatic loss and oedematous gut. Objective: To assess the efficacy of Bogota bag for closure of open abdominal wounds after laparotomy where the primary closure cannot be achieved and other closure techniques are not available.
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