严重腹腔感染Bogota袋暂时性关腹技术

Bogota bag for temporary abdominal closure in patients with severe abdominal infection

目的:探讨Bogota袋暂时性关腹技术在严重腹腔感染患者治疗中的应用价值。方法:在6例严重腹腔感染患者中,常规一期关腹失败后应用Bogota袋技术行暂时性关腹治疗。结果:6例患者在常规关腹治疗失败后,应用Bogota袋技术,待感染控制、组织水肿消退后再行腹直肌鞘反转等确定性手术关腹,收到满意疗效,未再发生因脓毒症、肠瘘及其他严重并发症。结论:对严重腹腔感染需行开放性腹腔管理的患者,Bogota袋覆盖技术可提供对腹内脏器的良好保护,不妨碍腹腔引流,有利于观察腹腔情况,无严重并发症,是一种安全有效的暂时性关腹手段。

Objective： To investigate the feasibility and efficacy of ＂ Bogota bag＂ in open abdomen management of patients with severe abdominal infection. Methods ： ＂Bogota bag＂ was used in 6 patients with severe abdominal infection after traditional primary abdominal closure failed. Results： All patients were cured after using ＂ Bogota bag＂ for temporary abdominal closure. No patient suffered subsequent sepsis and emergency operation. There was no severe adverse event such as enterocutaneous fistulas during the treatment. Conclusion： The technique of ＂Bogota bag＂ can be a safe and effective method in treating severe abdominal sepsis.