Trabajos de Titulación - Sede Azogues - Medicina
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Examinando Trabajos de Titulación - Sede Azogues - Medicina por Materia "ABDOMEN ABIERTO, BOLSA DE BOGOTÁ, COMPLICACIONES, FISTULA ENTEROATMOSFÉRICA, LAPAROTOMÍA, HERNIA VENTRAL"
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- ÍtemAcceso AbiertoComplicaciones quirúrgicas del uso de la bolsa de Bogotá en laparotomía exploratoria(Universidad Católica de Cuenca., 2024) Toledo Quito, Paul Andrés; Crespo Argudo, Karla Marcela; 0302452792It is the most common technique, with an annual rate of 12% to 82% for temporary abdominal closure in the open abdomen. It consists of approximating the edges of the abdominal wall by suturing a sterile bag. The primary complications of this technique are infectious processes, loss of fluids, proteins, and electrolytes through peritoneal fluid, ventral hernia, fascia laceration, and enteroatmospheric fistula, the latter being the most severe complication with the highest mortality rate. It is often performed to maintain a temporarily closed abdomen after major surgery, especially in cases of abdominal hypertension, hemodynamic instability, or edema of the abdominal viscera. It is performed to avoid excessive pressure on internal organs and enable periodic evaluation of abdominal status or relaparotomy. The use of this technique depends on the surgeon's judgment and the risk/benefit for the patients. This open abdominal strategy can prevent and relieve increased intra-abdominal pressure, reduce intraoperative time, allow for secretions and collection evacuation within the abdomen, early identification of complications, preserve fascia integrity, and quickly access the abdominal cavity if necessary. Managing an open abdomen is a complex task as it is associated with a high mortality rate, ranging from 21 to 55%. The leading cause of death is multiorgan failure. In Latin America, mortality ranges from 12.5% to 18% in Argentina and increases to 33.5% in Colombia. Keywords: Open abdomen, Bogotá bag, enteroatmospheric fistula, ventral hernia.