Abdominal content containment: practicalities and outcome

Ghimenton, Fernando; Thomson, S R; Muckart, D. J. J.; Burrows, Richard

doi:10.1046/j.1365-2168.2000.01337.x

Cited by 70 publications

(49 citation statements)

References 15 publications

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“…Definitive abdominal fascial closure is achievable in about 60 per cent of patients and is the ideal. Timing is crucial; it can be done from as early as 3 days to as late as 15 days 67,71,72 . In the authors' experience, the earlier closure is attempted, the higher the chance of success.…”

Section: The Open Abdomenmentioning

confidence: 99%

Intra-abdominal hypertension and the abdominal compartment syndrome

Moore,

Hargest,

Martin

et al. 2004

British Journal of Surgery

115

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Section: The Open Abdomenmentioning

confidence: 99%

Intra-abdominal hypertension and the abdominal compartment syndrome

Moore,

Hargest,

Martin

et al. 2004

British Journal of Surgery

115

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“…15,16 In patients undergoing damage-control laparotomy, abdominal containment was achieved by the use of a Bogota Bag (plastic intravenous fluid container called the 'Bogota Bag', so-called because it was first used in the city of Bogota, Colombia). 17,18 Patients with blunt injuries and no clinical features of peritonitis underwent repeated clinical assessment. Those with equivocal signs underwent computed tomography (CT) scanning.…”

Section: Methodsmentioning

confidence: 99%

Abdominal Trauma in Durban, South Africa: Factors Influencing Outcome

Mnguni

Muckart

Madiba

2012

International Surgery

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Abdominal injury as a result of both blunt and penetrating trauma has an appreciable mortality rate from hemorrhage and sepsis. In this article, we present our experience with the management of abdominal trauma in Durban and investigate factors that influence outcome. We performed a prospective study of patients with abdominal trauma in one surgical ward at King Edward VIII Hospital in Durban over a period of 7 years, from 1998 through 2004. Demographic details, cause of injury, delay before surgery, clinical presentation, findings at surgery, management and outcome were documented. There were 488 patients with abdominal trauma with a mean age of 29.2 ± 10.7 years. There were 440 penetrating injuries (240 firearm wounds; 200 stab wounds) and 48 blunt injuries. The mean delay before surgery was 11.7 ± 16.4 hours, and 55 patients (11%) presented in shock. Four hundred and forty patients underwent laparotomy, and 48 were managed nonoperatively. The Injury Severity Score was 11.1 ± 6.7, and the New Injury Severity Score was 17.1 ± 11.1. One hundred and thirty-seven patients (28%) were admitted to the intensive care unit (ICU), with a mean ICU stay of 3.6 ± 5.5 days. One hundred and thirty-two patients developed complications (28%), and 52 (11%) died. Shock, acidosis, increased transfusion requirements, number of organs injured, and injury severity were all associated with higher mortality. Delay before surgery had no influence on outcome. Hospital stay was 9.2 ± 10.8 days. The majority of abdominal injuries in our environment are due to firearms. Physiological instability, mechanism of injury, severity of injury, and the number of organs injured influence outcome.

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“…Besides this significant tissue loss and bowel spillage also pose additional risks to the patient. During this period the abdominal contents are protected with alternate methods, such as packs, plastic bags [24] absorbable mesh grafts, and VAC dressings. In some patients when bowel edema and distension subsides a delayed primary closure can be achieved at between 7 and 10 days [25].…”

Section: Timingmentioning

confidence: 99%

Abdominal Wall Reconstruction in a Trauma Setting

Pushpakumar

Wilhelmi

van-Aalst³

et al. 2007

Eur J Trauma Emerg Surg

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According to the World Health Organization "Global burden of disease study", future demographics of trauma are expected to show an increase in morbidity and mortality. In the past few decades, the field of trauma surgery has evolved to provide global and comprehensive care of the injured. While the modern day trauma surgeon is well trained to deal with multitrauma patients with injuries involving several systems, the ever-increasing nature and variety of multitrauma has left lacuna in certain areas. One such area is the management of abdominal wall injuries, which has been the domain of both plastic and reconstructive and general surgeons. The trauma surgeon is adept at treating the contents of the abdomen but not always the container. If not managed properly complications associated with abdominal wall injuries can lead to increased morbidity and mortality. In considering reconstruction of the abdominal wall in multitrauma patients proper evaluation, scrupulous planning, appropriate, and meticulous technique improve the chances for success with minimal complications. In the present article, we provide a brief description of the most commonly used procedures, and more importantly we outline the principles and guidelines applied to abdominal wall reconstruction in order to inform the trauma surgeon of different available treatment options. In doing so, we hope that this review will assist trauma surgeons in their overall care of patients that present with abdominal injuries.

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Abdominal content containment: practicalities and outcome

Abstract: Plastic bags were cheaper and as effective as polyglactin mesh for t-ACC. Survivors require a multidisciplinary approach in management, undergo a protracted hospital stay and later need complex incisional hernia repairs.

Cited by 70 publications

References 15 publications

Intra-abdominal hypertension and the abdominal compartment syndrome

Intra-abdominal hypertension and the abdominal compartment syndrome

Abdominal Trauma in Durban, South Africa: Factors Influencing Outcome

Abdominal Wall Reconstruction in a Trauma Setting

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