MANEJO DE ABDOMEN ABIERTO EN PACIENTES INGRESADOS EN EL HOSPITAL GENERAL LUIS VERNAZA 2014-2016

Abstract

Introduction: Some clinical situations result in a great challenge in the management of the open abdomen and consecutively with definitive closure of the fascia, frequently associated with morbidity and high mortality. The different techniques to protect the intra-abdominal contents can not be used in a standardized way in the different clinical scenarios. Objectives: To review the indications and controversies of the open abdomen, as well as the techniques used for the temporary closure of the abdominal wall, its complications, time elapsed for definitive closure and mortality rate. Methods and Materials: This is an observational, descriptive, cross-sectional and retrospective study of the patients of the Luis Vernaza Hospital with an open abdomen technique in the Intensive Care service. Results: Data were obtained from 100 patients. Among the indications for open abdomen, 31 patients (31%) were for acute abdomen, 27 patients (27%) for sepsis, 21 patients (21%) surgery for damage control. (62%) were used the Bogotá Stock Exchange, 22 patients (22%), Bogota Stock Exchange plus Vaccum and 16 patients (16%). The main complication was abdominal contamination with 50 patients (50%). Of the number of patients that achieved definitive closure of the wall, 34 patients (61%) were in the course of the first 14 days. Of the 100 patients, 44 (44%) left alive and 56 (56%) patients who died being their main cause Sepsis. Conclusions: The most frequent indication for the abdomen was the abdomen with the Bolsa de Bogotá as the most used technique for its management at the General Hospital Luis Vernaza (HLV). We observed that there is a high mortality rate in this group of patients.