TITLE

The open peritoneal cavity: etiology correlates with the likelihood of fascial closure

AUTHOR(S)
Tsuei, Betty J.; Skinner, J. Chris; Bernard, Andrew C.; Kearney, Paul A.; Boulanger, Bernard R.
PUB. DATE
July 2004
SOURCE
American Surgeon;Jul2004, Vol. 70 Issue 7, p652
SOURCE TYPE
Academic Journal
DOC. TYPE
journal article
ABSTRACT
The use of laparostomy in damage control surgery and uncontrolled intra-abdominal infection has been well described. We examined 71 patients who required laparostomy to see if trends in management and outcome could be identified based on the underlying disease state. The underlying etiology included gastrointestinal sepsis (n = 25), pancreatitis (n = 21), or trauma (n = 25). Pancreatitis patients required more operations per patient (P < 0.05). The likelihood and type of closure (fascial, mesh, or none) was related to the underlying etiology: trauma patients were more likely to have fascial closure (P < 0.02), patients with GI sepsis were more likely to require mesh closure, and pancreatitis patients were more likely to have no formal closure (P < 0.02). Only 29 per cent of patients achieved definitive fascial closure. Mortality in trauma patients was 20 per cent, 36 per cent for GI sepsis, and 43 per cent in patients with pancreatitis. Complications of laparostomy included enterocutaneous fistula (16.9%) and abscess formation (7%). Though the use of laparostomy has become more prevalent, it is still associated with significant hospital stay, morbidity, and mortality. In our study, the number of operations and likelihood of abdominal closure appears to correlate with the etiology of the underlying disease requiring use of laparostomy.
ACCESSION #
13758598

 

Related Articles

  • Pediatrik karaciÄŸer transplantasyonu sonrası gastrointestinal sistem perforasyonları. Aktaş, Sema; Akdur, Aydıncan; Moray, Gökhan; Haberal, Mehmet // Turkish Journal of Surgery / Ulusal Cerrahi Dergisi;2012, Vol. 28 Issue 1, p34 

    Purpose: Gastrointestinal (GI) perforation is one of the causes of mortality after pediatric liver transplantation (LT). The aim of this study was to evaluate the incidence of clinical presentations, and outcomes of gastrointestinal perforations after pediatric LTs. Patients and Methods: Since...

  • Impacted "Phytobezoar" at the Base of Meckle's Diverticulum. Gupta, G.; Gupta, S.; Golhar, K. B.; Deshpande, S. // East & Central African Journal of Surgery;Mar/Apr2012, Vol. 17 Issue 1, p136 

    Bezoars have been known to cause obstruction of any portion of the gastrointestinal tract. This case report describes a patient with a surgically treated bezoar impacted at the base of Meckel's diverticulum causing acute intestinal obstruction. In the absence of prior gastric surgery this makes...

  • Extra-abdominal lumbar abscesses caused by retroperitoneal gastrointestinal perforations through the lumbar triangle of Petit: report of two cases diagnosed by CT. Coulier, Bruno; Gogoase, Monica; Ramboux, Adrien; Pierard, Frederic // Abdominal Imaging;Dec2012, Vol. 37 Issue 6, p1122 

    Extra-abdominal abscesses of gastrointestinal origin developing within the lumbar subcutaneous tissues are extremely rare. We report two cases of retroperitoneal bowel perforation presenting spontaneously at admission with a lumbar abscess trespassing the lumbar triangle of Petit, a classical...

  • Pneumatosis Cystoides Intestinalis: A Rare Benign Cause of Pneumoperitoneum. Devgun, Puneet; Hassan, Hal // Case Reports in Radiology;2013, p1 

    Pneumatosis cystoides intestinalis is a rare gastrointestinal complication in the course of connective tissue diseases, especially in scleroderma, that can lead to pneumoperitoneum or obstruction. Findings on plain radiography may reveal radiolucent linear or bubbly circular air bubbles in the...

  • Infections.  // Modern Pathology;Jan2005 Supplement 1, Vol. 18, p260A 

    The article focuses on different studies on several infections. The study on duodenal and gastric mucosal histopathologic changes in patients with giardiasis concludes that duodenal histopathological changes should be considered in explaining clinical gastrointestinal manifestations in such...

  • The etiology of intestinal obstruction in patients... McCloy, Colleen; Brown, Thomas C.; Bolton, John S.; Bowen, John C.; Fuhrman, George M. // American Surgeon;Jan1998, Vol. 64 Issue 1, p19 

    Evaluates the etiology of intestinal obstruction in patients without a prior history of laparotomy or physical examination evidence of a hernia. Methods used on the study; Etiology of obstruction determined at surgery; Ability to determine the etiology of obstruction preoperatively and the...

  • An Unusual Case of Right Transmesocolic Hernia with Ureter at the Neck of Sac. Gond, Mahendra Singh; Saxena, Arjun; Agarwal, Pawan; Somashekar, Uday; Sharma, Dhananjaya // Surgical Science;Aug2011, Vol. 2 Issue 6, p341 

    The purpose of the present article is to present an unusual case of internal herniation. In this case small bowl obstruction was due to congenital right trans-mesocolic hernia which had the right ureter at the neck of the sac forming a constriction band. This requires careful widening of neck of...

  • Omental infarct: CT imaging features. Singh, A. K.; Gervais, D. A.; Lee, P.; Westra, S.; Hahn, P. F.; Novelline, R. A.; Mueller, P. R. // Abdominal Imaging;Sep2006, Vol. 31 Issue 5, p549 

    Background: The aim of this study is to describe contrast-enhanced computed tomographic (CT) features of acute omental infarction and to study the evolutionary changes on follow-up CT imaging. Methods: Fifteen cases of omental infarction were evaluated for their initial...

  • ETIOLOGICAL SPECTRUM OF PERFORATION PERITONITIS. Masud, Mannan; Khan, Aurangzeb; Adil, Muhammad; Gondal, Zafar Iqbal; Aquil, Adnan; Jahangeer, M. Hamza; Baig, Sheharyar // Pakistan Armed Forces Medical Journal;Oct2016, Vol. 66 Issue 5, p756 

    Objective: To determine the etiological spectrum of perforation peritonitis in patients undergoing laparotomy at Military Hospital Rawalpindi. Study Design: Descriptive Study. Place and Duration of Study: Surgical department, Military Hospital, Rawalpindi from Jun 2011 to Jan 2014, over a period...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics