Materials used for temporary abdominal closure following decompression laparotomy in the abdominal compartment syndrome/Materiale folosite pentru închiderea temporara a abdomenului dupa laparotomia de decompresie în sindromul de compartiment abdominal

• Published in: Industria textilă (Bucharest, Romania : 1994) Vol. 66; no. 3; p. 136
• Main Authors: Carâp, Alexandru, Popa, Florian, Socea, Bogdan, Bobic, Simona, Ciudin, Alexandru, Constantin, Vlad Denis
• Format: Journal Article
• Language: English
• Published: Bucharest The National Research & Development Institute for Textiles and Leather - INCDTP 01.05.2015
• Subjects: Abdomen; Abdominal surgery; Bladder; Closures; Collagens; Compartment syndrome; Compartments; Composite materials; Death; Fistula; Laparotomy; Materials science; Measurement techniques; Medical supplies; Mortality; Patients; Polypropylenes; Studies; Surgery; Trauma; Urine
• ISSN: 1222-5347

Abdominal compartment syndrome (ACS) can appear in critically ill patients following trauma, intra-abdominal infections and after major surgery. The treatment is decompressive laparotomy followed by a temporary abdominal wall closure (TAC) technique. The choice of material for the TAC is highly influential in regards to fistula formation, delayed closure rates and mortality. The authors compared two TAC techniques, Bogota bag and composite mesh, for 9 patients that developed ACS in the department. The composite mesh contains a polypropylene outer layer and an absorbable collagen film on the visceral surface. They used the Bogota bag system for 4 cases and the composite mesh system in 5 cases. Overall mortality was high with four deaths out of nine patients. Three intestinal fistulas developed, two for the Bogota bag, both of them resulting in death. Although the sample size is small they feel that the composite mesh was a better choice of TAC after decompressive laparotomy for ACS.