Systematic Reviews
Copyright ©The Author(s) 2016.
World J Gastrointest Surg. Aug 27, 2016; 8(8): 590-597
Published online Aug 27, 2016. doi: 10.4240/wjgs.v8.i8.590
Table 1 Etiologies for abdominal compartmental syndrome
PrimarySecondary
Abdominopelvic causes[5]:Extra-abdominal causes[5]:
Complex abdominal trauma[5]Sepsis[5]
Ruptured Aneurysm aorta[5]Acidosis (pH < 7.2)[5]
Hemoperitoneum[5]Hypothermia[5]
Pancreatitis[5]Politransfused (> 10 IU of packed red blood cells in 24 h)[5]
Peritonitis[5]Coagulopathies (platelets < 55000/mm3 or aPTT > 2x/normal or TAP < 50% - INR > 1.5 )[5]
Retroperitoneal bleeding[5]Great chest, vascular and orthopedic trauma[5]
Hepatic transplants[5]Great burnt[5]
Primary closure under tension[5]Vigorous hydration (> 5 U/24 h)[5]
Table 2 Comparison of the advantages of each technique
Bogota bagAllows greater number of reviews of the abdominal cavity than the direct synthesis; better control of septic focuses by easy access; abdominal decompression; and functional restoration of the abdominal wall; has low cost; immediate availability; flexibility and high resistance; is not adhered to the tissues; does not cause allergic or inflammatory reactions; has quick and easy installation; can be used in any part of the body; allows the visualization of organs; is used in trauma, cancer surgery, and various abdominal surgeries; is a protector against water loss and heat
Barker techniqueIt is an inexpensive technique; uses material found in the surgical center and easily applicable; has moderate fluid control; allows closure of the abdominal wall with less tension; has low rates of complications
Vacuum-assisted closure therapyIt prevents contamination; allows dissection of the wound; protects the wound from external injuries; reduces the interstitial pressure; increases blood flow to the lesion; reduces the expression of matrix metalloproteinases in chronic wounds; promotes wound healing; removes stagnant fluids and debris; increases proliferation and cell division rates; induces granulation tissue formation; and brings greater comfort to the patient with infrequent complications. In selected cases it can be used as an outpatient procedure; allows shorter hospital stay and better quality of life
Table 3 Comparison between the disadvantages of each technique
Bogota bagUse 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 techniqueIn 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 therapyHigh 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