Document Detail


Damage control surgery by keeping the abdomen open during pregnancy: favorable outcome, a case report.
MedLine Citation:
PMID:  19778444     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Acute abdomen in advanced pregnancy is one of the most challenging surgical situations. In life-threatening situations, despite optimal management, foetus distress and preterm delivery may occur. Although laparostomy is a useful treatment of abdominal sepsis, its successful management has not been reported previously in pregnant women.
CASE: 30-year-old woman at 23 week of pregnancy was investigated for non-specific abdominal pain. Surgical exploration revealed extensive ischemic bowel necrosis. Multiple segmental resections were performed and abdomen was left open with vacuum assisted dressing, maintained for 48 hours. At the third surgical look the continuity was restored and abdominal wall closed. The foetal condition stayed unperturbed under pharmacologic tocolysis. Pregnancy was carried to full term delivery.
CONCLUSION: Open abdomen strategy can be successfully applied in pregnant woman.
Authors:
Wojciech Staszewicz; Michel Christodoulou; François Marty; Vincent Bettschart
Related Documents :
15229914 - Nomograms of sonographic measurements throughout gestation of the fetal hard palate wid...
9315184 - Growth of the fetal forehead and normative dimensions developed by three-dimensional ul...
21809354 - A protective antiarrhythmic role of ursodeoxycholic acid in an in vitro rat model of th...
934954 - Using ultrasound to assess the fetus at risk.
3600694 - Sister-chromatid exchanges in newborns after normal and progesterone-treated pregnancies.
15661604 - School-based teenage pregnancy prevention programs: a systematic review of randomized c...
Publication Detail:
Type:  Journal Article     Date:  2009-09-24
Journal Detail:
Title:  World journal of emergency surgery : WJES     Volume:  4     ISSN:  1749-7922     ISO Abbreviation:  World J Emerg Surg     Publication Date:  2009  
Date Detail:
Created Date:  2009-10-08     Completed Date:  2011-07-14     Revised Date:  2011-11-21    
Medline Journal Info:
Nlm Unique ID:  101266603     Medline TA:  World J Emerg Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  33     Citation Subset:  -    
Affiliation:
Department of Surgery, Mid-Valais Hospital Center, Sion, Switzerland. wojciech.staszewicz@rsv-gnw.ch.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Analysis of induced components in electroencephalograms using a multiple correlation method.
Next Document:  The rapamycin-regulated gene expression signature determines prognosis for breast cancer.