Year: 2023
Type: article
Study design: Case Report
Abstract: Introduction: The management of traumatized patients or those with severe intra-abdominal infections presented a difficult problem to solve: the primary closure without tension of the abdominal cavity.On the other hand, advances in patient care brought significant gains in survival, with the increase and improvement of peritonetostomies.Peritoneostomy consists of an operative strategy, in which the abdominal cavity is left open and the planes of the abdominal wall are not completely approximated, allowing a regular inspection of the condition of the loops and drainage of intra-cavity content, reducing the need for transfer of the patient to the operating room, minimizing the cumulative risks of multiple transports and anesthesia.Goal: The purpose of this study is to analyze the use of negative pressure (vacuum) therapy as a proposal for temporary coverage and control of peritonitis in patients undergoing damage control laparotomy, based on the use of negative pressure therapy, associated or not with polypropylene screen with scheduled washes every 72 hours, or demand as indicated by the patient's clinical condition.Technique: Isolation of the intestinal loops from the edges of the wall that are involved by a sterile multiperforated polyethylene film with scissors or a scalpel blade between the abdominal viscera and the anterior parietal peritoneum, surgical compresses on the sheet with two suction drains and covered with an iodine-impregnated polyester adhesive plastic bonded to the skin including a wide margin of surrounding skin.The drains are then connected to a suction device that can provide 100-150 mmHg of continuous negative pressure.Clinical case: A 65-yearold male patient came to the emergency room with abdominal pain in a band with sweating and fever that had not been measured and hematochezia, with a 3-day course.On physical examination, he was pale, with a
Authors: Carolina Cassiano do Rosário, Amanda Martins Fagundes, Bárbara França Kanadani, Deborah Figueiredo Costa, Junia Mara Grigorio dos Reis, Marcos Vinícius de Almeida Teles, Fernando Henrique da Silva Costa, Pavleska Bartos Miranda, Romulo Maia Martins, Roberta Fernandes Bezerra, Nara Márcia Amaro Domingos Guimarães, Vinicius Guimarães, Vanessa Fontana Porfiro Ribas, Larissa Mercadante de Assis, Adelcio Machado dos Santos
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W4386325752