Temporary abdominal closure using transfer bag in the management of patients with open abdomen

Eskandaros, Moheb S; Darwish, Ahmed A.; Hegab, Ashraf

doi:10.4103/1110-1121.194728

Cited by 1 publication

(4 citation statements)

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“…There are a number of techniques from authors for open abdomen/temporary abdominal closure methods; however, there is no documentation of a proven superior technique [ 1 , 10 ]. In most surgical clinical settings, postlaparotomy primary anterior abdominal wall incisional wound fascial closure is done [ 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…In these challenging clinical scenarios, prosthetic materials are used to temporarily close the abdominal wall as forceful primary abdominal fascia closure could produce undue tension on fascia [ 3 ]. However, there is no documented ideal prosthesis for temporary abdominal closure [ 1 ]. A number of materials have been used by different authors for temporary abdominal closure such as polyglycolic acid mesh (Dexon) and absorbable woven polyglactin mesh (Vicryl) [ 1 ].…”

Section: Discussionmentioning

confidence: 99%

“…However, there is no documented ideal prosthesis for temporary abdominal closure [ 1 ]. A number of materials have been used by different authors for temporary abdominal closure such as polyglycolic acid mesh (Dexon) and absorbable woven polyglactin mesh (Vicryl) [ 1 ]. However, of late, the most popular material preferred by surgeons has been the sterilized, opened irrigation genitourinary bag (Bogotà bag) [ 1 , 5 ].…”

Section: Discussionmentioning

confidence: 99%

“…Despite an open abdomen being accompanied with substantial morbidity and mortality, there are surgical conditions which warrant it as a temporary measure to manage surgical pathologies as life-saving measures [ 1 ]. However, the longer the abdomen is left open, the higher the potential for morbidity [ 2 ].…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Standard Urine Collection Bag as an Improvised Bogotá Bag as a Temporary Abdominal Closure Method in an Open Abdomen in Preventing Abdominal Compartment Syndrome

Shabhay

Chilonga

et al. 2021

Case Reports in Surgery

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Primary abdominal wall closure post laparotomy is not always possible. Certain surgical pathologies such as degloving anterior abdominal wall trauma injuries and peritoneal visceral volume and cavity disproportion render it nearly impossible for the attending surgeon to close the abdomen in the first initial laparotomy. In such surgical clinical scenarios leaving the abdomen open might be lifesaving. Forceful closure might lead to abdominal compartment syndrome and impair respiratory status of the patient. Open abdomen closure techniques have evolved over time from protection of abdominal viscera to complex fascia retraction prevention techniques. Silo bags, i.e., (Bogotá Bags), are relatively cheap, available materials used as a temporary abdominal closure method in limited resources settings. Despite its limitations of not preventing fascia retraction and draining of peritoneal fluid, it protects the abdominal viscera. We report a case of a 29-year-old male who developed incisional anterior abdominal wall wound dehiscence. He was scheduled for emergency explorative laparotomy. Intraoperatively, multiple attempts to reduce grossly dilated edematous bowels into the peritoneal cavity and fascia approximation into the midline were not possible. A urinary collection bag was sutured on the skin edges as a temporary abdominal closure method in prevention of abdominal compartment syndrome. He fared well postoperatively and eventually underwent abdominal incisional wound closure. In emergency abdominal surgeries done in limited surgical material resource settings were primary abdominal closure is not possible at initial laparotomy, sterile urine collection bags as alternatives to the standard Bogota bags as temporary abdominal closure materials can be safely used. These are relatively easily available and can be safely used until definite surgical intervention is achieved with relatively fewer complications.

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Section: Discussionmentioning

confidence: 99%