Your browser doesn't support javascript.
loading
Successful management of the open abdomen with hydrocolloid dressing in a resource-constrained setting.
Valderrama, O M; Goldstein, A L; Del Carmen Monteza Gallardo, S; de Moya, M; Quiodettis, M.
Afiliação
  • Valderrama OM; Division of Trauma and Surgical Critical, Hospital Santo Tomás, Calle 37 Este, Bella Vista, Panama City, Panama. otildav@yahoo.com.
  • Goldstein AL; Division of Trauma and Acute Care Surgery, Tel Aviv Medical Center, Ichilov Hospital, Tel Aviv, Israel.
  • Del Carmen Monteza Gallardo S; Division of Trauma and Surgical Critical, Hospital Santo Tomás, Calle 37 Este, Bella Vista, Panama City, Panama.
  • de Moya M; Division of Trauma and Acute Care Surgery, Medical College of Wisconsin, Froedtert Hospital, Milwaukee, WI, USA.
  • Quiodettis M; Division of Trauma and Surgical Critical, Hospital Santo Tomás, Calle 37 Este, Bella Vista, Panama City, Panama.
Hernia ; 25(6): 1519-1527, 2021 12.
Article em En | MEDLINE | ID: mdl-33009962
PURPOSE: To evaluate and detail the management of a difficult, long-term, open abdomen in a resource constraint setting with the use of Hydrocolloid dressing. METHOD: An observational retrospective study was conducted at a single level-1 trauma center. Over a 5-year period, all the open abdomen patients were evaluated and the cohorts who were treated with Hydrocolloid dressings were described in detail from their admission to their discharge. RESULTS: During this period, there were 147 open abdomens. 7.5% (11) patients required long-term open abdomen management, in which Hydrocolloid dressing was utilized. Of this group, there were no entero/colonic-atmospheric fistulas, and there was either de-novo complete skin coverage, successful skin graft placement, or definitive abdominal wall repair in all the patients. De-novo complete skin coverage took an average of 7.4 months. All the patients were discharged home after an average of 107 days hospitalized. CONCLUSION: Despite not being an optimal management of an open abdomen, there are always a small group of these patients who lose abdominal domain, are critically ill or injured, and have prolonged hospitalization with an open abdomen. In this cohort, and especially in resource constraint settings, Hydrocolloid dressing is a cost-efficient, simple, and effective method to treat the 'long-term' open abdomens.
Assuntos
Palavras-chave

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fístula Intestinal / Curativos Hidrocoloides Tipo de estudo: Observational_studies Limite: Humans Idioma: En Revista: Hernia Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Panamá País de publicação: França

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Fístula Intestinal / Curativos Hidrocoloides Tipo de estudo: Observational_studies Limite: Humans Idioma: En Revista: Hernia Assunto da revista: GASTROENTEROLOGIA Ano de publicação: 2021 Tipo de documento: Article País de afiliação: Panamá País de publicação: França