Basilio OA, López CO, Olguín LA, Delgadillo GS

Language: Spanish
References: 20
Page: 32-36
PDF size: 83.08 Kb.

ABSTRACT

This study was done between January first 2000 and June 30th 2001, in the Central Hospital of Cruz Roja Mexicana (HCCRM). The objective was to look for the frequency, indications, reinterviews and complications on the open abdomen. We studied 67 patients of 76 patients. In this study we use different variables like age, sex, personal history, trauma score, kind of trauma, open abdomen indications, intra-abdominal pressure, complications and mortality. We evaluated the stab wound who where treated with open abdomen. We found 67 patients, their average age was of 34.5 years, 57 men and 10 women, 20 patients suffer automovilistic accident, 23 firegun shoot, 7 stab wound, 4 suffer a fall and 13 of the patients had a medical pathology. Twelve patients died and 13.8 of the patients survive. The liver was the more affected intra-abdominal organ, the intestinal occlusion was the more frequent stablished cause of no traumatic origin. The indications for open abdomen were damage control in 44 patients, abdominal sepsis in 10 patients, abdominal hypertension in 2, second look in 7, generalized edema in 7. The medium of reinterviews was of 2.3 with an interval of 72 h. The principal mortality cause was the organic multiple failure.

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