Experience in the management of the open abdomen contained with Bolsa de Bogotá in the Central Military Hospital of the Armed Forces

Abstract

The open abdomen is a surgical technique in which we leave the cavity open, covering the organs for the management of different clinicopathological entities. Materials and methods: 14 patients were prospectively evaluated between February 2018
and February 2020, treated with an open abdomen technique contained with Bogotá Bag in the Surgery Service of the Central Military Hospital. Results: The average age was 49 years, and 79% were male. Indications for open abdomen management
were: abdominal sepsis, damage control, abdominal hypertension and second look. In patients with open abdomen due to
damage control, the most frequently injured organs were: splenic injury with perforation of the transverse colon and liver injury
with duodenal perforation. The average number of reoperations was 2.4 per patient. All patients were in the Intensive Care Unit, with an average of 15 days. Complications found: patients with intestinal fistula 21.4% and deaths 21.4%. In 7 patients, the vacuum aspiration system was used concomitantly. Conclusions: The management of the open abdomen contained with Bogota Bag is a simple technique for our environment due to its use with low-cost material such as polyethylene, obtaining satisfactory results.