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Cirugía y cirujanos
versión On-line ISSN 2444-054Xversión impresa ISSN 0009-7411
Resumen
FLORES-ALVAREZ, Efrén; CRUZ DE LA TORRE-GONZALEZ, J.; RIVERA-BARRAGAN, Virgilio y CRUZ-ALVAREZ, Luis D. De la. Sequential closure of the abdominal wall for the management of open abdomen. A new surgical technique. Cir. cir. [online]. 2020, vol.88, n.5, pp.624-629. Epub 08-Nov-2021. ISSN 2444-054X. https://doi.org/10.24875/ciru.20000760.
Background:
The open abdomen is a surgical technique used in the treatment of patients with abdominal sepsis, abdominal trauma and abdominal hypertension syndrome.
Objective:
The aim was to demonstrate the effectiveness of a new surgical technique designed for the management and closure of the abdominal wall in patients with open abdomen.
Method:
Study of all patients treated with open abdomen in our Hospital over a five-year period.
Results:
It were included 24 patients, 18 men and 6 women. The average age was 41.5 ± 15.9 years. Operative diagnosis was abdominal compartment syndrome in 7 (29%) cases, abdominal sepsis in 9 (38%), and abdominal trauma in 8 (33%). The median of APACHE II score was 8 points (range: 5-21) while the assessment of SIRS score had a median of 2 points (range: 1-4). The median of surgical procedures performed in operating room was two per patient. The median of fascial surgical closures performed in the patient bed was four. A successful closure of the abdominal wall was performed in 21 of 22 live patients (95%).
Conclusions:
The sequential closure of the abdominal wall is an effective technique that offers an alternative to the management of the open abdomen.
Palabras llave : Open abdomen; Abdominal hypertension; Abdominal wall; Abdominal sepsis; Abdominal trauma.