Open abdomen in gastrointestinal surgery: Which technique is the best for temporary closure during damage control?

Table 3 Comparison between the disadvantages of each technique

Bogota bag	Use of more drains and rinses; presents a certain risk of eviscerations and difficulty in mobilizing the patient; it can cause skin lacerations; bowel adhesion to abdominal wall; it needs gas sterilization of the bag; there is a difficult control of the third space; leaks under the bag can wet the bed increasing the risk of hypothermia
Barker technique	In some cases, it does not allow adequate approach of the abdominal wall; it has moderate fluid control; greater difficulty in detecting complications that occur with bleeding and the maintaining of continuous pressure
Vacuum-assisted closure therapy	High cost; it can cause skin irritation due to the use of the adhesive; it can cause pain, infection and bleeding; it can lead to toxic shock syndrome (rare) and can cause thrombosis