Use of chorioamniotic membrane instead of bogota bag in open abdomen: how i do it?
It is one of the most important problems for general surgeons to decide which operation should be undertaken on patients with intra-abdominal infection, especially those with concomitant abdominal hypertension. Recently, closure techniques using prosthetic meshes in order to retain abdominal tension and to control sepsis have become very popular for patients with abdominal sepsis and hypertension. We used chorioamniotic membrane instead of plastic material to cover the open abdomen. We conclude that human chorioamniotic membrane prepared under sterile conditions may be an alternative to conventional plastic bags in daily practice, for preventing serosal erosion and fistulas in patients undergoing open abdominal surgery.
Tekin
Sakir
S
Department of General Surgery, Selcuk University Meram Medical Faculty Akyokus, Feritpasa Mah. Gokhan Sok. Mehmet Katirci Apt. C Blok 11/13 Selcuklu, Konya 42060, Turkey.
Tekin
Ahmet
A
Kucukkartallar
Tevfik
T
Cakir
Murat
M
Kartal
Adil
A
D000005:Abdomen / Q000601:surgery*; D000650:Amnion / Q000637:transplantation*; D002823:Chorion / Q000637:transplantation*; D006801:Humans; D010538:Peritonitis / Q000601:surgery; D018805:Sepsis / Q000601:surgery*; D013514:Surgical Procedures, Operative; D013529:Surgical Wound Dehiscence / Q000517:prevention & control*; D013536:Suture Techniques