Details
Category: Volume 09 Issue 02 February 2021
Hits: 898

Title: Management of Laparostomy Wound: A Complex Surgical Problem – A Case Report

Authors: Ajay.P, Chetan Anand, Dinker Pai

 DOI: https://dx.doi.org/10.18535/jmscr/v9i2.25

Abstract

Introduction: Open abdomen is a strategy used to avoid abdominal compartment syndrome, and management of open abdominal wounds have a vital role.

Case Report: 38 year old male came with history of blunt abdominal trauma 3 days prior. He was taken up for emergency laparotomy following CT abdomen. Intra operatively, left ischemic colonic segment resection was done followed by double barrel colostomy. Because of bowel edema the wound was managed as a laparostomy.   

Conclusion: There are different ways to manage a laparostomy wound and here we have applied negative pressure to manage the wound with success.

Keywords: Difficulty in abdominal closure, Negative VAC therapy, different types of abdominal closure.

References

  1. C. Argenta, M.J. Morykwas Vacuum-assisted closure: a new method for wound control and treatment: clinical experience Ann. Plast. Surg, 38 (1997), pp. 563-577
  2. J. Morykwas, L.C. Argenta, E.I. Shelton-Brown, W. McGuirtVacuum-assisted closure: a new method for wound control and treatment: animal studies and basic foundation Ann. Plast. Surg., 38 (1997), pp. 553-562
  3. Saxena, C.W. Hwang, S. Huang, Q. Eichbaum, D. Ingber, D.P. OrgillVacuum-assisted closure: microdeformations of wounds and cell proliferation Plast. Reconstr. Surg., 114 (2004), pp. 1086-1096.
  4. J. DeFranzo, K. Pitzer, J.A. Molnar, M.W. Marks, M.C. Chang, P.R. Miller, et al. Vacuum-assisted closure for defects of the abdominal wall Plast. Reconstr. Surg., 121 (2008), pp. 832-839
  5. C. Cothren, E.E. Moore, J.L. Johnson, J.B. Moore, J.M. BurchOne hundred percent fascial approximation with sequential abdominal closure of the open abdomen Am. J. Surg., 192 (2006), pp. 238-242
  6. Fujino, N. Miyoshi, M. Ohue, S. Noura, Y. Fujiwara, M. Yano, et al. Vacuum-assisted closure for open perineal wound after abdominoperineal resection Int. J. Surg. Case Rep., 11 (2015), pp. 87-90
  7. Goverman, J.A. Yelon, J.J. Platz, R.C. Singson, M. TurcinovicThe Fistula VAC: a technique for management of enterocutaneous fistulae arising within the open abdomen: report of 5 cases J. Trauma, 60 (2006), pp. 428-431
  8. Boulanger, V. Lemaire, D. JacqueminVacuum-assisted closure of enterocutaneous fistula Acta Chir. Belg., 107 (2007), pp. 703-705.

Corresponding Author

Ajay.P

Senior Resident (General Surgery), Mahatma Gandhi Medical College, Pondicherry