Home Current issue Ahead of print Search About us Editorial board Archives Submit article Instructions Subscribe Contacts Login 
ORIGINAL ARTICLE
Year : 2016  |  Volume : 35  |  Issue : 4  |  Page : 321-326

Temporary abdominal closure using transfer bag in the management of patients with open abdomen


Department of General Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt

Correspondence Address:
Moheb S Eskandaros
99 El Montazah Street, Heliopolis, Cairo
Egypt
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1110-1121.194728

Rights and Permissions

Context Open abdomen is associated with significant morbidity and mortality. Leaving the abdomen open may be necessary in case of severe peritonitis and associated wound dehiscence. Many techniques are available for temporary abdominal closure (TAC), but none has been proven to be superior. Aim In our work, we propose early TAC using a transfer bag that can prevent the eviscerartion of the abdominal contents. Moreover, it will allow continuous drainage of the patient’s septic wound with continuous serial assessment. Setting and design It was a prospective case series study. Patients and methods The study included 25 patients with difficult abdominal closure in whom a double-layered large transfer bag was used for TAC. Statistical analysis Continuous variables were expressed as mean±SD. Categorical variables were expressed as frequencies and percentage. Results The average timing of the application of TAC ranged from first to fourth operation, with a mean±SD of 2±1.38. Early mortality occurred in six patients, whereas delayed mortality occurred in two patients. The net survivors included 17 (68%) patients. Of them, two patients were subjected to simple skin closure, six were subjected to split thickness skin graft, and nine were subjected to early fascial closure with lateral release and mesh application. Average timing for closure or coverage was 10–45 days, with a mean±SD of 25.8±11.8 days. An intestinal fistula was seen in three (12%) patients. The average length of hospital stay was 38.84±11.75 days. Conclusion The use of transfer bag TAC for open abdomen is a safe, cheap, available, simple, and effective procedure that can provide an easy access to the abdomen when needed.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed1000    
    Printed25    
    Emailed0    
    PDF Downloaded84    
    Comments [Add]    

Recommend this journal