Open abdomen in intra-abdominal sepsis. Nylon mesh with zipper
Main Article Content
Intra-abdominal sepsis presents a 30-80% mortality rate when the traditional management of laparotomy and septic site drainage is implemented. This article discusses various methods for preventing re-occurring abdominal sepsis. It describes techniques used and results achieved using an open abdomen in the management of intra-abdominal sepsis in the Valle University Hospital, Cali, Colombia. This study spans 18 months and involves 65 patients, all of whom presented abdominal sepsis. Initial patients were treated with plastic mesh insertion, and the remaining patients received nylon mesh with a zipper. Techniques described include mesh insertion and protocol for daily abdominal lavage. The patients in this study were classified according to the degree of sepsis hemodynamic status based on the APACHE II scale and PATI. The primary indication for mesh insertion was generalized suppurative peritonitis. An average of 4.74 lavages were performed on surviving patients, and the mesh was left in place for 11.5 days. The mortality rate for these patients was 31.5%.
Downloads
- Carlos Manzano, Edgar Torres, Bridel Miranda, Ligadura de la arteria hepática trauma severo hígado , Colombia Medica: Vol. 5 No. 1 (1974)
- María Victoria Pérez, Jaime Rubiano, Armando González, Edgar Torres, Abraham Kestengerg, Manejo de heridas precordiales en el Hospital Universitario del Valle. Un nuevo enfoque. , Colombia Medica: Vol. 15 No. 4 (1984)
- Ricardo Ferrada D, Gonzalo Aristizábal, Luis Armando Caicedo, Carlos Alberto Ordóñez, Diego Rivera, Manejo del trauma hepático. Experiencia en el Hospital Universitario del Valle , Colombia Medica: Vol. 22 No. 4 (1991)
- Armando González M, Soleil Velásquez, Rita Iglesias, Olga L Rojas, Edgar Torres, La infección de heridas limpias como patrón de la calidad del cuidado quirúrgico. , Colombia Medica: Vol. 14 No. 1 (1983)
- Armando González M, Carlos Barbato, Leonardo Velásquez, Edgar Torres, Roberto Arrom, Armando Vernaza, Apendicitis en el Hospial Universitario del Valle Cali 1964-1973 , Colombia Medica: Vol. 8 No. 2 (1977)
- Armando Gonzáles M., Olga Lucía Rojas, Edilberto Gómez, Edgar Torres, Etiology, management, and outcomes of biliary obstructive disease at the Hospital Universitario del Valle, Cali, Colombia. , Colombia Medica: Vol. 20 No. 2 (1989)
- Armando Gonzáles, Rita Iglesias, Amanda Galarza, Edilberto Gómez, Olga Lucía Rojas, Edgar Torres, Diagnosis and treatment of intra-abdominal sepsis: a study of 240 patients at the Hospital Universitario del Valle, Cali , Colombia Medica: Vol. 18 No. 3 (1987)
- Armando Gonzáles, Rita Iglesias, Amanda Galarza, Edilberto Gómez, Olga Lucía Rojas, Edgar Torres, Intra-abdominal abscess: a study of 47 patients at the Hospital Universitario del Valle , Colombia Medica: Vol. 18 No. 4 (1987)
- Olga Lucía Rojas, Armando Gonzáles, Edilberto Gómez, Edgar Torres, Acute appendicitis - diagnosis and treatment , Colombia Medica: Vol. 18 No. 4 (1987)
- Gustavo A. Peláez, Armando Gonzáles, Edgar Torres, Edilberto Gómez, Diagnosis and treatment of mechanical bowel obstruction , Colombia Medica: Vol. 20 No. 1 (1989)
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
The copy rights of the articles published in Colombia Médica belong to the Universidad del Valle. The contents of the articles that appear in the Journal are exclusively the responsibility of the authors and do not necessarily reflect the opinions of the Editorial Committee of the Journal. It is allowed to reproduce the material published in Colombia Médica without prior authorization for non-commercial use