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ORIGINAL ARTICLE   

Chirurgia 2021 August;34(4):154-7

DOI: 10.23736/S0394-9508.20.05149-9

Copyright © 2020 EDIZIONI MINERVA MEDICA

lingua: Inglese

Comparison of negative-pressure wound therapy and Bogota bag technique in open abdomen: a retrospective clinical study

Feyzi KURT

Wound Care Unit, General Surgery Clinic, Seyhan State Hospital, Adana, Turkey



BACKGROUND: The abdomen is temporarily left open due to sepsis and abdominal compartment syndrome developing in the abdomen after surgeries performed for different reasons. There are different methods for this. In this study, we aimed to compare negative-pressure wound therapy (NPWT) and the Bogota bag technique, which are two of these methods.
METHODS: The study included 14 patients treated with open abdomen in Seyhan State Hospital between 2010 and 2019. The data of the patients were accessed using the electronic database. The patients’ age, gender, etiology of open abdomen, length of intensive care and hospital stay, temporary abdominal closure method used and abdominal closure methods were recorded.
RESULTS: The study included 14 patients. Of the patients, six were treated with NPWT and eight with the Bogota bag technique. Of the patients, eight were male and six were female. The mean age of the patients was 68.48 (42-84) years. The mean APACHE IV score was 42 in the NPWT group and 44 in the Bogota bag group during their intensive care stay. The mean length of intensive care stay was 12 days in the NPWT group and 21 days in the Bogota bag group. The mean length of hospital stay was 34 and 42 days in the NPWT and Bogota bag groups, respectively. The abdomen was closed in an average of 14 days in the NPWT group and 18 days in the Bogota bag group. One patient died in the NPWT group and two patients died in the Bogota bag group during intensive care.
CONCLUSIONS: The use of NPWT in open abdomen reduces the length of intensive care and hospital stay compared to the Bogota Bag technique. At the same time, the abdomen is closed in a shorter time. The use of NPWT in open abdomen provides advantage.


KEY WORDS: Abdominal wound closure techniques; Open abdomen technique; Negative-pressure wound therapy

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