Cirugía de abdomen abierto en gineco obstetricia: indicaciones, técnica y manejo

Forero, Juan Carlos; Rodríguez, Jorge Augusto

doi:10.18597/rcog.548

Cited by 2 publications

(3 citation statements)

References 30 publications

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“…Los materiales protésicos se los clasifica en: Reticulares, que pueden ser no reabsorbibles, como el polipropileno, poliéster, y reabsorbibles como el ácido poliglicólico y el poliglactin 910 35 . Prótesis laminares, como el PTFE (politetrafluoroetileno) y el Surgisis (biomaterial de la submucosa porcina), y los compuestos, que son mezclas de los anteriores 36 .…”

Section: Mallasunclassified

Abdomen abierto en la sepsis intraabdominal severa: ¿Una indicación beneficiosa?

S¹,

A²

2009

Rev Chil Cir

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Section: Mallasunclassified

Abdomen abierto en la sepsis intraabdominal severa: ¿Una indicación beneficiosa?

S¹,

A²

2009

Rev Chil Cir

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“…3 These diseases are presented with variable frequency in obstetrics, in which the benefits may include the prevention and treatment of intra-abdominal hypertension syndrome, prevention of peritoneal cavity infection and ACS. [7][8][9][10][11] Intraabdominal pressure (IAP) is a hemodynamic monitoring option in critically ill patients to avoid this syndrome. 7 Until now, the open abdomen management involves many doubts.…”

Section: Introductionmentioning

confidence: 99%

“…This is due to the fact that there is uncertainty regarding the most appropriate surgical technique. Among the options to treat this condition have been described vacuum systems, [7][8][9][10][11] Bogota bag, 3,5,7,11 close skin only technique, 12 prosthetic materials, 13 Wittman Patch, 3,6 topical negative pressure (TnP), fascial closure, temporary abdominal closure, fascial dehiscence and deep wound dehiscence, 14 cutaneous-adipose tissues detachment, 15 modified Bogota bag (MBB), 16 etc. Among all the options to treat open abdomen there are three similar in cost/effectiveness: The Bogota bag, the subcutaneous polyethylene bag and the MALA (mayor absorción de líquido abdominal in the original spanish/ greater absorption of abdominal liquid) bag (introducing).…”

Section: Introductionmentioning

confidence: 99%

Experience of the MALA Bag in the Open Abdomen Management in an Obstetrical Intensive Care Unit

et al. 2013

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Introduction: Current indications for open abdomen management are damage control surgery, severe intra-abdominal sepsis, abdominal compartment syndrome, abdominal wall closure under tension and mass loss of the abdominal wall.Objective: To describe the experience in open abdomen management using the MALA (mayor absorción de líquido abdominal [greater absorption of abdominal liquid]) bag at the Maternal-Perinatal Hospital Mónica Pretelini Saénz, Health Institute of the State of Mexico.Material and Methods: This was a bidirectional, descriptive and observational study. All patients with the diagnosis of open abdomen managed with the MALA bag admitted to the Obstetric Intensive Care Unit from February 2009 to June 2012 were included.Results: From 25 cases identified in the period of the study, seven were eliminated for incomplete files, remaining 18 cases for the analysis. The mean age was 31.5 years. 78% of the patients were multigravidas, 50% of them with a history of 2 or more deliveries, 83% had a previous cesarean section and 78% were hysterectomized. Evisceration was present in one patient. The main indication for surgical management was damage control. One patient died and a second was transferred to another institution, the rest were discharged by clinical improvement. 12 patients (67%) spent less than 14 days in the Obstetric Intensive Care Unit, only one patient required morethan 30 days in the unit. Discussion: Halve the women who required this surgical alternative, were above 30 years of age. Stressing is the fact that from the 18 admitted patients, 14 (78%) had undergone obstetric hysterectomy, with the etiology of uterine atony in most cases. Damage control surgery seems to be the most elective surgical option to use MALA bag followed by ACS and abdominal sepsis.Conclusion: The MALA bag can offer an economic and effective surgical option for the open abdomen management as well as adrainage technique.

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Cirugía de abdomen abierto en gineco obstetricia: indicaciones, técnica y manejo

Cited by 2 publications

References 30 publications

Abdomen abierto en la sepsis intraabdominal severa: ¿Una indicación beneficiosa?

Abdomen abierto en la sepsis intraabdominal severa: ¿Una indicación beneficiosa?

Experience of the MALA Bag in the Open Abdomen Management in an Obstetrical Intensive Care Unit

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