Role of zipper in the management of abdominal sepsis.

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dc.contributor.authorSingh, Ken_US
dc.contributor.authorChhina, R Sen_US
dc.date.accessioned1993-01-01en_US
dc.date.accessioned2009-05-29T02:57:40Z
dc.date.available1993-01-01en_US
dc.date.available2009-05-29T02:57:40Z
dc.date.issued1993-01-01en_US
dc.description.abstractBACKGROUND: Continuous peritoneal lavage, staged laparotomies and radical peritoneal debridement have been used to reduce mortality from severe abdominal sepsis. Recently, open abdomen technique using a 'zipper' with or without mesh for abdominal lavage has shown promising results. AIMS: To evaluate open abdominal technique using a zipper in patients with advanced diffuse peritonitis with impending or established multiple organ failure. METHODS: Modified open abdomen technique using zipper with or without mesh was used for abdominal closure in eight patients with severe generalized peritonitis (APACHE-II score range 27-30). RESULTS: Zipper was inserted at first laparotomy in three patients, at second exploration in four and at the time of third laparotomy in one case. Two patients required strips of mesh in addition to zipper. Six of eight patients survived and were discharged after an average period of 27 days. Two deaths were due to multisystem organ failure. In four patients additional surgical procedures like closure of perforation, temporary ileostomy and resection anastomosis of small bowel was carried out through the zipper. Zipper-mesh were removed an average of 10.5 days after insertion. Three patients developed incisional hernia at 6 months follow-up. CONCLUSION: This technique merits further controlled trials to ascertain its indications and benefits.en_US
dc.description.affiliationDepartment of Emergency Surgery, Dayanand Medical College and Hospital, Ludhiana.en_US
dc.identifier.citationSingh K, Chhina RS. Role of zipper in the management of abdominal sepsis. Indian Journal of Gastroenterology. 1993 Jan; 12(1): 1-4en_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/64767
dc.language.isoengen_US
dc.source.urihttps://www.indianjgastro.comen_US
dc.subject.meshAbdomen --surgeryen_US
dc.subject.meshAdulten_US
dc.subject.meshBacterial Infections --surgeryen_US
dc.subject.meshEvaluation Studies as Topicen_US
dc.subject.meshFemaleen_US
dc.subject.meshHumansen_US
dc.subject.meshLaparotomy --instrumentationen_US
dc.subject.meshMaleen_US
dc.subject.meshPeritoneal Lavageen_US
dc.subject.meshPeritonitis --surgeryen_US
dc.subject.meshSurgical Meshen_US
dc.titleRole of zipper in the management of abdominal sepsis.en_US
dc.typeJournal Articleen_US
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