Temporary Abdominal Wall Closure in Congenital Diaphragmatic Hernia by Bogota Bag Method

In neonatal congenital diaphragmatic hernia (CDH) repair if the abdomen is closed with tension it poses the problem of abdominal compartment syndrome (ACS). In the index case with ACS, temporary closure of the abdomen was achieved with sterile urobag called the ‘Bogota bag technique’ with successful complete closure of abdomen after seven days. The other methods of temporary closure of the abdomen are discussed with emphasis on prevention of abdominal compartment syndrome. The ease and simplicity of the technique of urobag utilisation in such situation is outlined in the article.

Download Full-text

Congenital diaphragmatic hernia repair analysis in relation to postoperative abdominal compartment syndrome and delayed abdominal closure

Updates in Surgery ◽

10.1007/s13304-021-00980-1 ◽

2021 ◽

Author(s):

Karina Miura da Costa ◽

Amulya Kumar Saxena

Keyword(s):

Hernia Repair ◽

Congenital Diaphragmatic Hernia ◽

Compartment Syndrome ◽

Abdominal Compartment Syndrome ◽

Diaphragmatic Hernia ◽

Abdominal Closure ◽

Abdominal Compartment ◽

Diaphragmatic Hernia Repair

Download Full-text

Serial abdominal closure with Gore-tex mesh and Rives-Stoppa for an open abdomen secondary to intra-abdominal hypertension in burns

Indian Journal of Plastic Surgery ◽

10.4103/ijps.ijps_75_18 ◽

2018 ◽

Vol 51 (03) ◽

pp. 324-326 ◽

Cited By ~ 1

Author(s):

R Raja Shanmugakrishnan ◽

Charles Yuen Yung Loh ◽

Abhijeet Wakure ◽

Naguib El-Muttardi

Keyword(s):

Compartment Syndrome ◽

Abdominal Wall ◽

Abdominal Compartment Syndrome ◽

Open Abdomen ◽

Excess Pressure ◽

Separation Technique ◽

Abdominal Wall Closure ◽

Decompressive Laparotomy ◽

Abdominal Hypertension ◽

Abdominal Compartment

ABSTRACTIntra-abdominal hypertension (IAH) leading to abdominal compartment syndrome (ACS) commonly occurs in major burns. To relieve the excess pressure, decompressive laparotomy is done which can lead to an open abdomen. Closure of the abdomen after a decompressive laparotomy is very difficult with bowel oedema. We describe our technique of closing the open abdomen in such situations with a combination of serial abdominal wall closure with a layered mesh and the Rives-Stoppa component separation technique.

Download Full-text

Recurrent Abdominal Compartment Syndrome: An Inciting Factor of the Second Hit Phenomenon

The American Surgeon ◽

10.1177/000313480907501209 ◽

2009 ◽

Vol 75 (12) ◽

pp. 1193-1198 ◽

Cited By ~ 3

Author(s):

Juan C. Duchesne ◽

Catherine C. Baucom ◽

Kelly V. Rennie ◽

Jon Simmons ◽

Norman E. Mcswain

Keyword(s):

Compartment Syndrome ◽

Abdominal Wall ◽

Abdominal Compartment Syndrome ◽

Hospital Length Of Stay ◽

Abdominal Pressure ◽

Abdominal Wall Closure ◽

Second Hit ◽

Increased Risk ◽

Abdominal Hypertension ◽

Abdominal Compartment

Intra-abdominal hypertension (IAH) after damage control laparotomy (DCL) is not unusual and because of this, patients are treated with open-abdomen techniques to prevent abdominal compartment syndrome (ACS). The occurrence of recurrent ACS (R-ACS) after abdominal wall closure under tension in patients managed with DCL can be a trigger factor for second hit syndrome. Outcomes in this subset have not been previously described. In this 1-year retrospective study of severely injured patients in a Level I trauma center managed with DCL and sequential abdominal wall closure, 26 patients were identified. After attempted abdominal wall closure, 13 (50%) patients had R-ACS and 13 (50%) non-R-ACS. R-ACS patients had a statistically significant higher incidence of multisystem organ failure, acute respiratory distress syndrome, and sepsis as well as requiring longer ventilator support and longer hospital length of stay. We concluded that failure to recognize and treat IAH with development of R-ACS after tension abdominal wall closure in patients with DCL will trigger the second hit syndrome with increased risk of morbidity. Institution of a management algorithm with intra-abdominal pressure/abdominal perfusion pressure surveillance at the time of abdominal wall closure can potentially ameliorate complications.

Download Full-text