[Management of the abdominal wall in sepsis. Comparison of two techniques].
OBJECTIVE
To compare two techniques of open abdomen management in patients with abdominal sepsis.


BACKGROUND
Some patients with abdominal sepsis will require open abdomen management to avoid abdomen compartment syndrome. We compare use of the Bogota bag with a technique developed at our Institution with a subcutaneous polyethylene bag.


METHODS
Thirty nine consecutive patients with abdominal sepsis who were managed with open abdomen.


RESULTS
Twenty one patients with Bogota bag and 18 patients with subcutaneous polyethylene bag. Patients with Bogota bag had more report surgery intrabdominal complications compared with patients with subcutaneous polyethylene bag (p = 0.04, p = 0.037, respectively). Mortality was the same.


CONCLUSIONS
Use of subcutaneous polyethylene bag in patient with abdominal sepsis and open abdomen appears safer when compared with Bogota bag.
Martínez-Ordaz
José Luis
JL
Servicio de Gastrocirugía, Hospital de Especialidades del Centro Médico Nacional Siglo XXI, IMSS, México, DF. jlmo1968@hotmail.com
Cruz-Olivo
Pedro Armando
PA
Chacón-Moya
Ericka
E
de la Fuente-Lira
Mauricio
M
Chavelas-Lluck
Manuel
M
Blanco-Benavides
Roberto
R
D000005:Abdomen / Q000601:surgery; D034861:Abdominal Wall / Q000601:surgery*; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007813:Laparotomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D018805:Sepsis / Q000601:surgery*; D013536:Suture Techniques; D016896:Treatment Outcome