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Open management of septic abdomen by Marlex mesh zipper

S M Bose1, M Kalra, N P Sandhu

  • 1Department of Surgery, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

The Australian and New Zealand Journal of Surgery
|May 1, 1991
PubMed

Insights

Marlex mesh with zipper facilitated abdominal closure in generalized peritonitis cases. This approach successfully controlled abdominal sepsis in most patients, despite some treatment complications.

Area of Science:

  • Surgical techniques
  • Abdominal surgery
  • Infectious disease management

Background:

  • Generalized peritonitis presents significant surgical challenges.
  • Recurrent intra-abdominal sepsis often necessitates complex management strategies.
  • Advanced closure techniques are crucial for managing severe abdominal infections.

Purpose of the Study:

  • To evaluate the efficacy of Marlex mesh with zipper for abdominal closure.
  • To assess the management of residual/recurrent intra-abdominal sepsis.
  • To analyze outcomes in patients with generalized peritonitis treated with this technique.

Main Methods:

  • Marlex mesh with zipper used for abdominal closure in 5 patients.
  • Patients had generalized peritonitis and required repeated explorations.
  • Treatment involved frequent peritoneal lavages.

Main Results:

  • Abdominal sepsis was successfully controlled in 4 out of 5 patients.
  • The technique was employed in a subset of 147 generalized peritonitis cases.
  • Mortality occurred in 3 of the 5 treated patients due to multiple factors.

Conclusions:

  • Marlex mesh with zipper closure can be effective in controlling abdominal sepsis.
  • This method may be considered for complex cases of generalized peritonitis with recurrent sepsis.
  • Careful patient selection and management are vital due to potential complications.

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