Laparostomy in patients with severe secondary peritonitis

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dc.authorid0000-0001-7011-1847
dc.authorid0000-0002-6036-8056
dc.authorid0000-0002-5878-7489
dc.authorscopusid8704795900
dc.authorscopusid19234891200
dc.authorscopusid14424012200
dc.authorscopusid26041059900
dc.authorscopusid6603744762
dc.authorscopusid16737400500
dc.contributor.authorGönüllü, Doğan
dc.contributor.authorKöksoy, Ferda Nihat
dc.contributor.authorDemiray, Okan
dc.contributor.authorÖzkan, Sibel Gürdal
dc.contributor.authorYücel, Tayfun
dc.contributor.authorYücel, Osman
dc.date.accessioned2022-05-11T14:34:51Z
dc.date.available2022-05-11T14:34:51Z
dc.date.issued2009
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractBACKGROUND The aim of this study was to evaluate the effectiveness of laparostomy with the Bogota bag for the management of patients with severe secondary peritonitis and the risk factors for survival. METHODS Thirty-seven patients (22 males, 15 females; mean age 63.5; range 44 to 83 years) with secondary peritonitis were treated by laparostomy and temporary closure with Bogota bag. APACHE II scores and Mannheim Peritonitis Index (MPI) were used to calculate the disease severity. The outcomes and effectiveness of APACHE II and MPI values were analyzed retrospectively. RESULTS The mortality rate was 43.2%. Significant differences were noted between survivors and non-survivors according to initial APACHE U and MPI scores and the number of operations. The non-survivors had higher APACHE II (r=0.81, p=0.001) and MPI (r=0.39, p=0.02) scores. The patients who survived were re-operated 1.6 times and those who died were re-operated 4.7 times. In five patients, laparostomy was closed primarily, while in the others, the wound was left open to heal secondarily. CONCLUSION Patients with higher APACHE 11 and MPI scores and number of operations had higher rates of mortality due to their major risk factors. Temporary abdominal closure using the Bogota bag in patients with secondary peritonitis is an inexpensive-simple method, permitting evaluation of underlying viscera and recognition of infection.
dc.identifier.endpage57
dc.identifier.issn1306-696X
dc.identifier.issue1en_US
dc.identifier.pmid19130338
dc.identifier.scopus2-s2.0-61449254390
dc.identifier.scopusqualityQ2
dc.identifier.startpage52
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8121
dc.identifier.volume15
dc.identifier.wosWOS:000262034300010
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorÖzkan, Sibel Gürdal
dc.language.isoen
dc.publisherTurkish Assoc Trauma Emergency Surgery
dc.relation.ispartofUlusal Travma Ve Acil Cerrahi Dergisi-Turkish Journal of Trauma & Emergency Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAPACHE II
dc.subjectBogota bag
dc.subjectintraabdominal morbidity
dc.subjectMannheim Peritonitis Index
dc.subjectmortality
dc.subjectsecondary peritonitis
dc.subjecttemporary abdominal closure
dc.subjectSevere Intraabdominal Infection
dc.subjectPlanned Relaparotomy
dc.subjectOpen Management
dc.subjectOn-Demand
dc.subjectClosure
dc.subjectAbdomen
dc.subjectTrauma
dc.titleLaparostomy in patients with severe secondary peritonitis
dc.typeArticle

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