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
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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.
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