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Controlled Open Drainage of Severe Intra-abdominal Sepsis

Controlled Open Drainage of Severe Intra-abdominal Sepsis Abstract • Controlled open drainage of the abdomen (gauze in plastic intestinal bag/surgical glove packing of abscesses; wound closure only to the degree needed to prevent evisceration) was compared with closed drainage (soft rubber or sump drains; complete fascial closure) in 31 patients with severe intraabdominal sepsis. Three (23%) of 13 patients died after open drainage vs eight (44%) of 18 after closed drainage. The difference was attributable to a lower incidence of recurrent abscesses in the former group (one recurrence) than in the latter (six recurrences). Thus, controlled open drainage may improve survival in this highly lethal condition. (Arch Surg 1985;120:629-631) References 1. Fry DE, Garrison RN, Heitsch RC, et al: Determinants of death in patients with intra-abdominal sepsis . Surgery 1980;88:517-523. 2. Pitcher WD, Musher DM: Critical importance of early diagnosis and treatment of intra-abdominal infection . Arch Surg 1982;117:328-333.Crossref 3. Bohnen J, Boulanger M, Meakins JL, et al: Prognosis in generalized peritonitis: Relation to cause and risk factors . Arch Surg 1983;118:285-290.Crossref 4. Starzl TE, Bell RH, Beart RW, et al: Hepatic trisegmentectomy and other liver resections . Surg Gynecol Obstet 1975;141:429-437. 5. Steinberg D: On leaving the peritoneal cavity open in acute generalized suppurative peritonitis . Am J Surg 1979;137:216-220.Crossref 6. Maetani S, Tobe T: Open peritoneal drainage as effective treatment of advanced peritonitis . Surgery 1981;90:804-809. 7. Duff JH, Moffat J: Abdominal sepsis managed by leaving abdomen open . Surgery 1981;90:774-778. 8. Anderson ED, Mandelbaum DM, Ellison EC, et al: Open packing of the peritoneal cavity in generalized peritonitis . Am J Surg 1983;145:131-135.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Controlled Open Drainage of Severe Intra-abdominal Sepsis

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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1985 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1985.01390290103018
Publisher site
See Article on Publisher Site

Abstract

Abstract • Controlled open drainage of the abdomen (gauze in plastic intestinal bag/surgical glove packing of abscesses; wound closure only to the degree needed to prevent evisceration) was compared with closed drainage (soft rubber or sump drains; complete fascial closure) in 31 patients with severe intraabdominal sepsis. Three (23%) of 13 patients died after open drainage vs eight (44%) of 18 after closed drainage. The difference was attributable to a lower incidence of recurrent abscesses in the former group (one recurrence) than in the latter (six recurrences). Thus, controlled open drainage may improve survival in this highly lethal condition. (Arch Surg 1985;120:629-631) References 1. Fry DE, Garrison RN, Heitsch RC, et al: Determinants of death in patients with intra-abdominal sepsis . Surgery 1980;88:517-523. 2. Pitcher WD, Musher DM: Critical importance of early diagnosis and treatment of intra-abdominal infection . Arch Surg 1982;117:328-333.Crossref 3. Bohnen J, Boulanger M, Meakins JL, et al: Prognosis in generalized peritonitis: Relation to cause and risk factors . Arch Surg 1983;118:285-290.Crossref 4. Starzl TE, Bell RH, Beart RW, et al: Hepatic trisegmentectomy and other liver resections . Surg Gynecol Obstet 1975;141:429-437. 5. Steinberg D: On leaving the peritoneal cavity open in acute generalized suppurative peritonitis . Am J Surg 1979;137:216-220.Crossref 6. Maetani S, Tobe T: Open peritoneal drainage as effective treatment of advanced peritonitis . Surgery 1981;90:804-809. 7. Duff JH, Moffat J: Abdominal sepsis managed by leaving abdomen open . Surgery 1981;90:774-778. 8. Anderson ED, Mandelbaum DM, Ellison EC, et al: Open packing of the peritoneal cavity in generalized peritonitis . Am J Surg 1983;145:131-135.Crossref

Journal

Archives of Surgery – American Medical Association

Published: May 1, 1985

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