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Related Experiment Videos

The zipper-mesh method for treating delayed generalized peritonitis

F Ercan1, A Korkmaz, N Aras

  • 1Sixth Department of Surgery, Numune Hospital, Ankara, Turkey.

Surgery Today
|January 1, 1993
PubMed
Summary

The open abdomen technique, using zippers with or without mesh, effectively managed generalized peritonitis in 10 patients. This approach facilitated early enteral nutrition and reduced mortality in critically ill patients.

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Area of Science:

  • Surgical Innovation
  • Critical Care Medicine
  • Peritonitis Management

Background:

  • The open abdomen technique is increasingly recognized for treating delayed generalized peritonitis.
  • Existing literature largely supports its efficacy with favorable outcomes.

Purpose of the Study:

  • To evaluate the effectiveness of the open abdomen technique using commercial zippers in patients with peritonitis.
  • To assess operative findings, patient characteristics, and mortality rates associated with this approach.

Main Methods:

  • Commercial zippers, with or without mesh, were applied to 14 patients with peritonitis.
  • Four early deaths led to exclusion; 10 patients were analyzed.
  • Data collected included operative findings, delay period, comorbidities, primary operations, reinterventions, organ failure, and mortality.

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Main Results:

  • Forty laparotomies were performed on the 10 analyzed patients.
  • The technique allowed for intraperitoneal cleaning and additional procedures like anastomotic repair.
  • Mean ventilator support was 27 hours, ambulation was achieved in 3 days, and early enteral nutrition was facilitated.
  • Mortality in this high-risk group was 40%, compared to an expected 70%-90%.

Conclusions:

  • The open abdomen technique with zippers is a viable option for managing generalized peritonitis.
  • It offers benefits such as facilitating early nutrition and potentially reducing mortality in severe cases.
  • Further research may explore optimizing zipper-based open abdomen strategies for peritonitis treatment.