• Rev Gastroenterol Mex · Apr 2004

    Comparative Study Clinical Trial

    [Management of the abdominal wall in sepsis. Comparison of two techniques].

    • José Luis Martínez-Ordaz, Pedro Armando Cruz-Olivo, Ericka Chacón-Moya, Mauricio de la Fuente-Lira, Manuel Chavelas-Lluck, and Roberto Blanco-Benavides.
    • Servicio de Gastrocirugía, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, IMSS, México, DF. jlmo1968@hotmail.com
    • Rev Gastroenterol Mex. 2004 Apr 1;69(2):88-93.

    ObjectiveTo compare two techniques of open abdomen management in patients with abdominal sepsis.IntroductionSome patients with abdominal sepsis will require open abdomen management to avoid abdomen compartment syndrome. We compare use of the Bogota bag with a technique developed at our Institution with a subcutaneous polyethylene bag.MethodsThirty nine consecutive patients with abdominal sepsis who were managed with open abdomen.ResultsTwenty one patients with Bogota bag and 18 patients with subcutaneous polyethylene bag. Patients with Bogota bag had more report surgery intrabdominal complications compared with patients with subcutaneous polyethylene bag (p = 0.04, p = 0.037, respectively). Mortality was the same.ConclusionsUse of subcutaneous polyethylene bag in patient with abdominal sepsis and open abdomen appears safer when compared with Bogota bag.

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