Laparostomy and abdominal content containment.

Faisal Bilal Lodhi; Tariq Farooq; Riaz Hussain; Iftikhar

Author(s)

Faisal Bilal Lodhi Department of Surgery, Punjab Medical College, Faisalabad, Pakistan

Tariq Farooq Department of Surgery, Punjab Medical College, Faisalabad, Pakistan

Riaz Hussain Department of Surgery, Punjab Medical College, Faisalabad, Pakistan

Iftikhar Allied Hospital (PMC), Faisalabad, Pakistan

Abstract

Background: Alternatives tofascial closure of the abdominal wall are increasingly used in critically ill patients. They pose practical and logistical problems in management of seriously ill patients. Objectives: (1) To define the role of laparostomy in intra abdominal sepsis. (2) To highlight the importance of economical method of temporary abdominal content containment using plastic bag. Setting: Surgical Unit Ill Allied Hospital/PMC Faisalabad Period: March 2003 tofebruary 2004, Methods: "Thirteen patient, 08 male and OS female patients underwent temporary abdominal content containment (t-ACC) following Emergency laparotomies. Indications for t-ACC were severe sepsis requiring reoperation, abdominal wall tissue loss or a combination of these. Results: Three patients underwent early definitive abdominal closure within 15 days. Eight patients had a protracted hospital stay (mean 26 days).Two patients died (on 10th and 17th post-op day) due to MODS. Conclusion: Plastic bags are cheaper and as effective as polyglactin mesh and other methods of t-ACC. Survivors require a multidisciplinary approach in management, undergo a protracted hospital stay and later need complex incisional hernia repairs.

Publication Details

Page(s) 106-110

DOI DOI not available

Published Journal: Professional Medical Journal, Volume: 11, Issue: 2, Year: 2004

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