Curativo à vácuo para cobertura temporária de peritoneostomia

Simão, Tiago Sarmento; Rocha, F.S.; Moscon, Felipe Barbosa; Pinheiro, Rafael Ribeiro; Barbosa, Fellipe Emanuel Amorim Santos; Faiwichow, Leão

doi:10.1590/s0102-67202013000200017

Cited by 5 publications

(4 citation statements)

References 11 publications

(8 reference statements)

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“…Therapy with vacuum dressing showed several advantages in managing trauma patients or those with severe intra abdominal infections, thus reducing postoperative morbimortality rates. It effectively prevents fluid loss and bacterial contamination [10] , [11] . In our patient, the use of vacuum therapy was crucial during the entire hospital stay, in reducing both surgical and recovery time.…”

Section: Discussionmentioning

confidence: 99%

Surgical management of complex duodenal trauma using laterolateral duodenum enteroanastomosis: A case report

Galdino

Welter

Frainer

et al. 2021

International Journal of Surgery Case Reports

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Introduction and importance Duodenal trauma is rare, however, it has high morbidity and mortality rates. Surgical treatment modalities are employed depending on severity, ranging from simple sutures to complex pancreaticoduodenectomy cases. Case presentation A male patient had a circular saw accident, leading to evisceration in an extensive wound from the thoracoabdominal transition to the inguinal region, with 75% laceration of the second duodenal portion circumference, laceration in hepatic segments, section from right mesocolon to transverse colon, and multiple perforations in small bowel loops between 70 and 90 cm from the angle of Treitz. Laterolateral duodenum enteroanastomosis was performed with proximal jejunum and gastroenteroanastomosis with the distal loop of the small intestine at 90 cm from the Treitz angle, and a termino lateral enteroanastomosis between food and the biliary loop at 20 cm from the gastroenteroanastomosis. Clinical discussion This report presents a new surgical technique for patients with penetrating duodenal trauma associated with liver and intestinal injuries, to avoid the need for more complex procedures. In addition, it demonstrates postoperative management of complications, including confection of the enteroatmospheric fistula for feeding. Conclusion The technique described in this article proved to be a good option for treating these lesions, as evidenced by optimal postoperative results.

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Section: Discussionmentioning

confidence: 99%

Surgical management of complex duodenal trauma using laterolateral duodenum enteroanastomosis: A case report

Galdino

Welter

Frainer

et al. 2021

International Journal of Surgery Case Reports

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show abstract

“…On the other hand, Birolini et al were successful in a retrospective trial of 20 patients with complications. They concluded that the application of synthetic materials did not have to be avoided in cases of abdominal infection, when classical principles of surgery, such as antisepsis and hemostasia, were respected 14 .…”

Section: Discussionmentioning

confidence: 99%

Use of alloplastic meshes in abdominal wounds of rats with induced peritonitis

Barbuto¹,

Duval-Araujo²,

Barral³

et al. 2014

ABCD, arq. bras. cir. dig.

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BackgroundThe use of alloplastic meshes has been historically contra-indicated in patients with infection.AimTo evaluate the use of polypropylene meshes in the treatment of abdominal wall defects in rats with peritonitis.MethodsTwenty Wistar female rats were divided into two groups: induction of peritonitis (test group) and without peritonitis (control group). An abdominal wall defect was created in all animals, and polypropylene mesh was applied. The evaluation of the tensile strength of the mesh was carried out using tensiometer and microscopic analysis of the healing area was done.ResultsMore adhesion of the mesh to the rat abdominal wall was observed in test group. The histopathological analyses showed prevalence of moderate to accentuated granulation tissue in both groups, without significant differences.ConclusionThe use of the mesh coverage on abdominal wall defects of rats with induced peritonitis did not show worse results than its use in healthy animals, nor was its integration to the resident tissue any worse.

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“…Desse modo o curativo sob pressão negativa estimula a perfusão tecidual além de reduzir a tensão sobre as bordas, minimizando o risco de necrose, promovendo uma contração e aproximando as bordas (SIMÃO TS, et al, 2013). Barker DE, et al (2012) foram pioneiros em descrever essa técnica, alcançaram 55,4% dos casos de fechamento parietal, e com poucas complicações.…”

Section: Curativo a Vácuo Em Pacientes Com Peritoniostomiaunclassified

Manejo dos pacientes com peritoniostomia em Unidade de Terapia Intensiva: implicações para a assistência de enfermagem

Carvalho,

Bonfim,

Ribeiro

et al. 2024

Acervo Saúde

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Objetivo: Debater obre o manejo de pacientes com peritoniostomia internados em unidade de terapia intensiva e as suas implicações para a assistência de enfermagem. Métodos: Trata-se de uma revisão integrativa da literatura, utilizando artigos publicados nas bases de dados Scielo, BVS, PUBMED e Web of Science, publicados entre 2013 e 2023 em português, inglês e espanhol. Resultados: A peritoniostomia é uma técnica cirúrgica com o objetivo de descomprimir o abdômen e evitar a hipertensão intra-abdominal e consequentemente a síndrome compartimental. A identificação precoce de possíveis complicações pós-cirúrgica na UTI pela equipe de enfermagem, poderá reduzir o tempo de internação, mortalidade e gastos hospitalares. Considerações finais: A peritoniostomia tem como objetivo principalmente a prevenção da hipertensão intra-abdominal. Para isso, são utilizados métodos como o uso da bolsa de bogotá e a técnica de Barker, diante disso e necessario que a enfermagem, aprimore seus conhecimento e treinamentos para seu manejo no ambiente intensivo.

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Curativo à vácuo para cobertura temporária de peritoneostomia

Abstract: The vacuum dressing proved to be good choice for temporary coverage of peritoneostomies allowing faster closure of the abdominal wound, reducing the number of reoperations and providing protection against bacterial contamination of the intestinal loops.

Cited by 5 publications

References 11 publications

Surgical management of complex duodenal trauma using laterolateral duodenum enteroanastomosis: A case report

Surgical management of complex duodenal trauma using laterolateral duodenum enteroanastomosis: A case report

Use of alloplastic meshes in abdominal wounds of rats with induced peritonitis

Manejo dos pacientes com peritoniostomia em Unidade de Terapia Intensiva: implicações para a assistência de enfermagem

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