Caracterization of laparostomies and after primary-closure course in Hospital Universitario Hernando Moncaleano Perdomo from 2014 to 2018

Abstract

INTRODUCTION: caracterization of patients managed with open abdomen in a 4th level (highest complexity) referral center in neiva, huila, Colombia between 2014-2018. OBJECTIVES: caracterization of patients managed with open abdomen, comorbidities, morbimortality previous to and afterwards primary fascial closure. MATERIAL AND METHODS: retrospective, observational, analitic, descriptive and transversal study in a cohort of patients with open abdomen in a 4 years time lapse RESULTS: 160 patients managed with open abdomen in which the most frequent etiology of OA was traumatic pathology in 36,2%, infectious disease in 26,2%, the most frequent abdominal closure technique used was bogota bag in 79,3%, followed by temporary skin-only closure in 11,2% and negative pressure therapy in 6,8%, first fascial closure was achieved in 51,2%, mortality before first fascial closure was 36,4% and mortality after was 6,0%. CONCLUSION: in a cohort that was similar in regards to causes of open abdomen to those in published literature, we found a high rate of fascial closure in spite of a low rate of negative pressure therapy use, also a similar mortality in the period previous to first fascial closure to that of similar cohorts in literature plus significant additional mortality burden of 6,0% after first fascial closure in those who had to go through additional abdominal surgery in a population with high morbidity burden.