PDF(Pubmed)
Abstract：
UNASSIGNED: In emergency surgeries, open abdomen or laparostomy, especially with perforated viscus, has been used primarily to prevent delayed ventral hernia, burst abdomen, and abdominal compartment syndrome. In the present study, the clinical and resuscitative factors that are linked with open abdomen morbidity are evaluated.
UNASSIGNED: A retrospective analysis was done for all the subjects who were admitted at the tertiary care center between May 2020 and May 2022 for the open abdomen surgeries. These patients were examined to see whether they needed more postoperative care than usual, including the need for resuscitative treatments and other critical clinical indicators. Patients were evaluated if they had any complications. The data that were collected were analysed for any variance using analysis of variance considering P <.05 as significant.
UNASSIGNED: A total of 100 subjects were analysed in this study. Forty nine patients had intra-abdominal sepsis of the 100 cases examined from historical case records and 1 had entero-cutaneous fistulas. These patients did not necessitate additional actions for intensive care unit care, resuscitation, an chest infection, extended hospital stay, or any disabilities compared to those who did not undergo laparotomy during the same period. In this group of patients with open abdomens, the immediate postoperative period was not linked to an increase in resuscitation efforts or a load on clinical staff. Once patients are stabilized, early definitive abdominal closure is advised to prevent problems associated to laparostomies.
UNASSIGNED: The quantity of initial fluid revival and the coagulation factors at the time of admission are not related to intra-abdominal sepsis and enteric fistula following laparostomy after significant abdominal injuries.
UNASSIGNED: A retrospective analysis was done for all the subjects who were admitted at the tertiary care center between May 2020 and May 2022 for the open abdomen surgeries. These patients were examined to see whether they needed more postoperative care than usual, including the need for resuscitative treatments and other critical clinical indicators. Patients were evaluated if they had any complications. The data that were collected were analysed for any variance using analysis of variance considering P <.05 as significant.
UNASSIGNED: A total of 100 subjects were analysed in this study. Forty nine patients had intra-abdominal sepsis of the 100 cases examined from historical case records and 1 had entero-cutaneous fistulas. These patients did not necessitate additional actions for intensive care unit care, resuscitation, an chest infection, extended hospital stay, or any disabilities compared to those who did not undergo laparotomy during the same period. In this group of patients with open abdomens, the immediate postoperative period was not linked to an increase in resuscitation efforts or a load on clinical staff. Once patients are stabilized, early definitive abdominal closure is advised to prevent problems associated to laparostomies.
UNASSIGNED: The quantity of initial fluid revival and the coagulation factors at the time of admission are not related to intra-abdominal sepsis and enteric fistula following laparostomy after significant abdominal injuries.
摘要：
■在紧急手术中，开腹或开腹造口术,尤其是内脏穿孔，主要用于预防迟发性腹侧疝,腹部爆裂,和腹腔室综合征。在本研究中,评估了与开腹发病率相关的临床和复苏因素.
对2020年5月至2022年5月在三级护理中心接受腹部开放手术的所有受试者进行了回顾性分析。对这些患者进行了检查，看看他们是否需要比平时更多的术后护理，包括复苏治疗和其他关键临床指标的需要。评估患者是否有任何并发症。使用考虑P<0.05为显著的方差分析来分析收集的数据的任何方差分析。
■本研究共分析了100名受试者。从历史病例记录中检查的100例病例中，有49例患者发生腹内败血症，其中1例发生肠皮肤瘘。这些患者不需要对重症监护病房采取额外措施，复苏,胸部感染,延长住院时间,或与同期未接受剖腹手术的人相比的任何残疾。在这组腹部开放的患者中，术后即刻时间与复苏努力的增加或临床工作人员的负担无关.一旦病人稳定下来,建议早期明确的腹部关闭，以防止与腹腔镜造口术相关的问题。
■入院时的初始液体复苏量和凝血因子与严重腹部损伤后腹腔镜造口术后腹腔内败血症和肠瘘无关。
对2020年5月至2022年5月在三级护理中心接受腹部开放手术的所有受试者进行了回顾性分析。对这些患者进行了检查，看看他们是否需要比平时更多的术后护理，包括复苏治疗和其他关键临床指标的需要。评估患者是否有任何并发症。使用考虑P<0.05为显著的方差分析来分析收集的数据的任何方差分析。
■本研究共分析了100名受试者。从历史病例记录中检查的100例病例中，有49例患者发生腹内败血症，其中1例发生肠皮肤瘘。这些患者不需要对重症监护病房采取额外措施，复苏,胸部感染,延长住院时间,或与同期未接受剖腹手术的人相比的任何残疾。在这组腹部开放的患者中，术后即刻时间与复苏努力的增加或临床工作人员的负担无关.一旦病人稳定下来,建议早期明确的腹部关闭，以防止与腹腔镜造口术相关的问题。
■入院时的初始液体复苏量和凝血因子与严重腹部损伤后腹腔镜造口术后腹腔内败血症和肠瘘无关。
