Perforated second trimester appendicitis with abdominal compartment syndrome managed with negative pressure wound therapy and open abdomen

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Perforated second trimester appendicitis with abdominal compartment syndrome managed with negative pressure wound therapy and open abdomen

Abdominal compartment syndrome (ACS) is a known complication of laparotomy; however, the literature is lacking in regards to treatment of this entity in pregnant patients. We present a case of acute perforated appendicitis in a second trimester primagravida, complicated by gangrenous necrosis of the contiguous bowel with subsequent development of ACS and intra-abdominal sepsis. This was treated...

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Management of the open abdomen using negative pressure wound therapy with instillation in severe abdominal sepsis

INTRODUCTION Despite the numerous advances in recent years, severe abdominal sepsis (with associated organ failure associated with infection) remains a serious, life-threatening condition with a high mortality rate. OA is a viable alternative to the previously used scheduled repeat laparotomy or continuous peritoneal lavage. The use of Negative Pressure Wound Therapy (NPWT) has been described a...

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Pressure Distribution during Negative Pressure Wound Therapy of Experimental Abdominal Compartment Syndrome in a Porcine Model

(1) Introduction: Negative pressure wound therapy (NPWT) is a frequently applied open abdomen (OA) treatment. There are only a few experimental data supporting this method and describing the optimal settings and pressure distribution in the abdominal cavity during this procedure. The aim of our study was to evaluate pressure values at different points in the abdominal cavity during NPWT in expe...

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A patient with abdominal compartment syndrome and perforated transverse colon successfully managed with ECMO.

Case Report A 24-year-old male soldier was admitted to the intensive care unit (ICU) for exertional heat stroke. Endotracheal intubation was performed for respiratory and metabolic acidosis (pH, 7.008; PaCO2, 66.6 torr; PaO2, 131.9 torr; HCO3-, 19.7 mmol/L). The patient recovered consciousness, bowel sounds were present, and nasogastric (NG) feeding was begun 17 hours later. The patient’s condi...

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Superficial Burn Wound Healing with Intermittent Negative Pressure Wound Therapy Under Limited Access and Conventional Dressings

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ژورنال

عنوان ژورنال: Journal of Surgical Case Reports

سال: 2016

ISSN: 2042-8812

DOI: 10.1093/jscr/rjw101