Treatment of intraabdominal sepsis by a zipper mesh: Open management Intraabdominal sepsis: Zipper (fermuar) mesh ile acik tedavi yaklasimi

Caglijulekci M., Kayaalp C., Akoglu M., Yilmaz S., Kirimlioglu V., Gundogdu H.

Turkish Journal of Surgery, vol.14, no.1, pp.51-57, 1998 (Scopus) identifier

  • Publication Type: Article / Article
  • Volume: 14 Issue: 1
  • Publication Date: 1998
  • Journal Name: Turkish Journal of Surgery
  • Journal Indexes: Scopus
  • Page Numbers: pp.51-57
  • Keywords: Intraabdominal sepsis, Secondary peritonitis, Zipper Glider
  • Yozgat Bozok University Affiliated: Yes

Abstract

Open management facilitates frequent reexploration, it serves to decompress the high intraabdominal pressure. A prospective study was planned to evaluate the effect of the Zipper Glider between two groups. Twenty patients were included in the study. Group 1 consisted of ten patients and the learning curve period. Group 2 consisted of the other ten patients. Hospitalization period was 32 days in Group 1, 29 days in Group 2. APACHE-II score 18 and 22 in Group 1 and 2 on living patients, 32 and 38 on lost patients. There was significant difference between the mortality rates. The mortality rate was 80 percent in Group 1 and 20 percent in Group 2. The difference was contributed to our experience, scoring of the patients and the time of open abdomen.