The purposeful separation of the musculofascial and cutaneous layers of the abdominal wall is known as a laparostomy. Surgeons employ the open abdomen technique to lessen the impact of life-threatening insults that might cause intra-abdominal hypertension and, finally, abdominal compartment syndrome. Despite the high prevalence of illnesses needing open abdomen surgery in East Africa, there are few papers documenting its use and outcomes. The author describes two patients in central Uganda who were treated with an open abdomen. One of the patients had a perforated peptic ulcer, while the other had an anastomotic leak. A Bagota bag was employed for temporary abdominal closure in both cases. Fascial closure was eventually completed in this case series, and no mortality was documented. The goal was to conduct a literature evaluation on the various procedures for temporary abdominal closure as well as the management of these critically ill surgical patients. Only 25% of patients who survived in Africa had their fascia closed, despite the fact that laparostomy mortality in Africa is as high as 44%. This could be attributable to the severity of the underlying condition rather than the temporary abdominal closure procedure performed. More study is needed in East Africa to better understand the reasons for open abdomen surgery and the best treatment techniques to reduce morbidity and death in these surgically severely ill individuals.
Author(S) Details
Richard Wismayer
Department of Surgery, Masaka Regional Referral Hospital, Masaka, Uganda and Department of Surgery, Faculty of Health Sciences, Habib Medical School, Kampala, Uganda.
View Book:- https://stm.bookpi.org/NHMMR-V3/article/view/6347
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