| Short- and long-term outcome of laparostomy following intra-abdominal sepsis. | |
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MedLine Citation:
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PMID: 21040361 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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Aim This study reports the short- and long-term outcomes of laparostomy for intra-abdominal sepsis. Method Twenty-nine sequential patients with intra-abdominal sepsis treated with a laparostomy over 6 years were included. Results The median age of the patients was 51 years, postoperative intensive care unit stay was 8 days, postoperative length of hospital stay was 87 days and follow up was 2 years. The expected mortality of 25% was insignificantly different from the observed mortality of 33% (P = 0.35). Seven per cent of patients required percutaneous drainage of intra-abdominal collections. An enterocutaneous fistula developed in 31% of all patients and in 15% of those treated with vacuum dressings. Component-separation fascial reconstruction was successful and uncomplicated in 83% of recipients compared with 25% of mesh repairs. Conclusion Laparostomy does not significantly reduce mortality from the expected rate and commits the patient to a prolonged recovery with a high risk of enterocutaneous fistulation. Component-separation fascial reconstruction has a better outcome than mesh repair. |
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Authors:
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O Anderson; A Putnis; R Bhardwaj; M Ho-Asjoe; E Carapeti; A B Williams; M L George |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland Volume: 13 ISSN: 1463-1318 ISO Abbreviation: Colorectal Dis Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-01-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100883611 Medline TA: Colorectal Dis Country: England |
Other Details:
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Languages: eng Pagination: e20-32 Citation Subset: IM |
Copyright Information:
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© 2010 The Authors. Colorectal Disease © 2010 The Association of Coloproctology of Great Britain and Ireland. |
Affiliation:
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Departments of Colorectal Surgery Plastic Surgery, St Thomas' Hospital, London, UK. |
Export Citation:
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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