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Related Experiment Videos

[The "left-open abdomen". Technic, indication and results].

L F Hollender, F Bur, D Schwenck

    Der Chirurg; Zeitschrift Fur Alle Gebiete Der Operativen Medizen
    |May 1, 1983
    PubMed
    Summary

    The open abdomen approach is recommendable for severe purulent and fecal peritonitis. While mortality exists, this method aids in managing complex abdominal infections.

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    [Comments on the history of surgery in Strassburg (3)].

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    [Eugene Koebèrlé (1828-1915), founder of modern surgery].

    Annales de chirurgie·2001

    Area of Science:

    • Surgical Gastroenterology
    • Critical Care Medicine
    • Infectious Diseases

    Context:

    • Peritonitis, characterized by abdominal cavity inflammation, presents significant therapeutic challenges.
    • Severe purulent or fecal peritonitis often necessitates aggressive surgical management.
    • The open abdomen technique is employed in complex cases following initial surgical intervention.

    Purpose:

    • To critically evaluate the outcomes of 22 patients treated with an open abdomen for severe diffuse purulent or fecal peritonitis.
    • To assess the efficacy and complications associated with the open abdomen approach in this patient cohort.

    Summary:

    • This study reviewed 22 cases of severe purulent/fecal peritonitis managed with an open abdomen post-surgery.
    • Mortality was 32% (7 patients), with causes including persistent sepsis, pancreatitis, hepatic coma, and embolism.
    • Autopsies confirmed abdominal cleanliness in some fatal cases, suggesting the technique's potential for source control.

    Impact:

    • The findings support the recommendation of the open abdomen as a viable therapeutic principle for severe purulent and fecal peritonitis.
    • This approach may improve outcomes by facilitating abdominal source control and management of intra-abdominal sepsis.
    • Further research can refine patient selection and optimize protocols for open abdomen management in peritonitis.

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