[Experience with the Bogota bag technique for temporary abdominal closure]
Antonia Brox-Jiménez1, Virgilio Ruiz-Luque, Cristina Torres-Arcos
1Servicio de Cirugía General y del Aparato Digestivo, Hospital de Valme, Sevilla, España. tonibrox@hotmail.com
Cirugia Espanola
|October 6, 2007
Summary
The Bogota bag technique effectively prevents or treats abdominal compartment syndrome in open abdominal closure cases. High mortality is linked to underlying conditions, not the Bogota bag itself.
Area of Science:
- Surgical techniques
- Trauma surgery
- Critical care
Context:
- Open abdominal closure presents challenges in managing intra-abdominal pressure.
- Abdominal compartment syndrome (ACS) is a life-threatening complication requiring timely intervention.
- The Bogota bag technique offers a temporary abdominal closure method.
Purpose:
- To evaluate the clinical experience and outcomes of the Bogota bag technique for open abdominal closure.
- To assess the efficacy of the Bogota bag in preventing or treating abdominal compartment syndrome.
- To analyze complications and patient outcomes associated with the Bogota bag technique.
Summary:
- The Bogota bag technique was applied in 12 patients, with 91.66% used for prevention and 8.34% for treatment of ACS.
- No complications were reported related to the Bogota bag placement or removal, with no instances of fistulas or abscesses.
- Mean hospital stay was 46.33 days, ICU stay was 16.58 days, and survival rate was 41.66%.
Impact:
- The Bogota bag is a valuable tool for managing open abdomens and preventing/treating ACS.
- The technique itself does not appear to contribute to mortality; high rates are attributed to severe underlying pathologies.
- This study supports the Bogota bag as a safe and effective component of care for critically ill surgical patients.
