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- Title
Materials used for temporary abdominal closure following decompression laparotomy in the abdominal compartment syndrome.
- Authors
CARÂP, ALEXANDRU; POPA, FLORIAN; SOCEA, BOGDAN; BOBIC, SIMONA; CIUDIN, ALEXANDRU; CONSTANTIN, VLAD DENIS
- Abstract
Abdominal compartment syndrome (ACS) can appear in critically ill patients following trauma, intra-abdominal infections and after major surgery. The treatment is decompressive laparotomy followed by a temporary abdominal wall closure (TAC) technique. The choice of material for the TAC is highly influential in regards to fistula formation, delayed closure rates and mortality. Materials and method: We compared two TAC techniques, Bogota bag and composite mesh, for 9 patients that developed ACS in our department. The composite mesh contains a polypropylene outer layer and an absorbable collagen film on the visceral surface. We used the Bogota bag system for 4 cases and the composite mesh system in 5 cases. Overall mortality was high with four deaths out of nine patients. Three intestinal fistulas developed, two for the Bogota bag, both of them resulting in death. Delayed primary closure was obtained in three cases, two for the composite mesh. Although the sample size is small we feel that the composite mesh was a better choice of TAC after decompressive laparotomy for ACS.
- Subjects
INTRA-abdominal hypertension; ABDOMINAL surgery; SURGICAL decompression; POLYPROPYLENE; MEDICAL polymers; OPERATIVE surgery
- Publication
Industria Textila, 2015, Issue 3, p136
- ISSN
1222-5347
- Publication type
Article