Carlos Manterola1, Javier Moraga, Sebastián Urrutia. 1. Grupo MINCIR (Metodología de Investigación en Cirugía), Departamento de Cirugía, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile; Departamento de Cirugía y Traumatología, Facultad de Medicina, Universidad de La Frontera, Temuco, Chile. cmantero@ufro.cl
Abstract
INTRODUCTION: The «Bogota bag» (BB) is one of the options for contained laparostomy (CL). The aim of this study was to report the procedure associated hospital morbidity (PAHM) in patients undergoing relaparotomy followed by a laparostomy using the BB. MATERIAL AND METHOD: Between 2002 and 2008, a prospective series of patients who underwent relaparotomy at the Hospital Hernán Henríquez, Temuco (Chile) was evaluated. The main end point was «development of PAHM». Secondary end points were: indications of the CL, time to first change of the BB, type of abdominal wall repair, hospital mortality and development of ventral hernia. Descriptive statistics were used, with the calculations of percentages and measures of central tendency and dispersion. RESULTS: The BB was used in 86 patients (median age of 53 years, 63% female). The PAHM was 38% (surgical-site infection and enterocutaneous fistula). The most frequent indication of CL was intra-abdominal sepsis (60%). The median time until the first change of the BB, the time period between surgical operations, and the time until removal of the BB were 65 hours, 2 days and 9 days, respectively. Laparostomy was repaired exclusively with skin, fascial closure or dermal-epidermal graft in 50, 39 and 10%, respectively. In hospital mortality was 12%. Sixty percent of the patients developed a ventral hernia within a 48 month follow-up. CONCLUSIONS: CL with a BB is associated with a high rate of PAHM and delayed complications.
INTRODUCTION: The «Bogota bag» (BB) is one of the options for contained laparostomy (CL). The aim of this study was to report the procedure associated hospital morbidity (PAHM) in patients undergoing relaparotomy followed by a laparostomy using the BB. MATERIAL AND METHOD: Between 2002 and 2008, a prospective series of patients who underwent relaparotomy at the Hospital Hernán Henríquez, Temuco (Chile) was evaluated. The main end point was «development of PAHM». Secondary end points were: indications of the CL, time to first change of the BB, type of abdominal wall repair, hospital mortality and development of ventral hernia. Descriptive statistics were used, with the calculations of percentages and measures of central tendency and dispersion. RESULTS: The BB was used in 86 patients (median age of 53 years, 63% female). The PAHM was 38% (surgical-site infection and enterocutaneous fistula). The most frequent indication of CL was intra-abdominal sepsis (60%). The median time until the first change of the BB, the time period between surgical operations, and the time until removal of the BB were 65 hours, 2 days and 9 days, respectively. Laparostomy was repaired exclusively with skin, fascial closure or dermal-epidermal graft in 50, 39 and 10%, respectively. In hospital mortality was 12%. Sixty percent of the patients developed a ventral hernia within a 48 month follow-up. CONCLUSIONS: CL with a BB is associated with a high rate of PAHM and delayed complications.
Authors: M López-Cano; J M García-Alamino; S A Antoniou; D Bennet; U A Dietz; F Ferreira; R H Fortelny; P Hernandez-Granados; M Miserez; A Montgomery; S Morales-Conde; F Muysoms; J A Pereira; R Schwab; N Slater; A Vanlander; G H Van Ramshorst; F Berrevoet Journal: Hernia Date: 2018-09-03 Impact factor: 4.739
Authors: Oktay Karakose; Mehmet Fatih Benzin; Huseyin Pülat; Mehmet Zafer Sabuncuoglu; Huseyin Eken; Ismail Zihni; Ibrahim Barut Journal: Med Sci Monit Date: 2016-08-17
Authors: Federico Coccolini; Giulia Montori; Marco Ceresoli; Fausto Catena; Ernest E Moore; Rao Ivatury; Walter Biffl; Andrew Peitzman; Raul Coimbra; Sandro Rizoli; Yoram Kluger; Fikri M Abu-Zidan; Massimo Sartelli; Marc De Moya; George Velmahos; Gustavo Pereira Fraga; Bruno M Pereira; Ari Leppaniemi; Marja A Boermeester; Andrew W Kirkpatrick; Ron Maier; Miklosh Bala; Boris Sakakushev; Vladimir Khokha; Manu Malbrain; Vanni Agnoletti; Ignacio Martin-Loeches; Michael Sugrue; Salomone Di Saverio; Ewen Griffiths; Kjetil Soreide; John E Mazuski; Addison K May; Philippe Montravers; Rita Maria Melotti; Michele Pisano; Francesco Salvetti; Gianmariano Marchesi; Tino M Valetti; Thomas Scalea; Osvaldo Chiara; Jeffry L Kashuk; Luca Ansaloni Journal: World J Emerg Surg Date: 2017-08-14 Impact factor: 5.469