Document Detail


Short- and long-term outcome of laparostomy following intra-abdominal sepsis.
MedLine Citation:
PMID:  21040361     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
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.
Authors:
O Anderson; A Putnis; R Bhardwaj; M Ho-Asjoe; E Carapeti; A B Williams; M L George
Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2011-01-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100883611     Medline TA:  Colorectal Dis     Country:  England    
Other Details:
Languages:  eng     Pagination:  e20-32     Citation Subset:  IM    
Copyright Information:
© 2010 The Authors. Colorectal Disease © 2010 The Association of Coloproctology of Great Britain and Ireland.
Affiliation:
Departments of Colorectal Surgery Plastic Surgery, St Thomas' Hospital, London, UK.
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