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Maurício Mentz, Eduardo Jorgens, Jorge Carlotto, Hospital da Cidade, Passo Fundo, Rio Grande do Sul, Brasil
Patient was stabbed multiple times in his chest and abdomen. Thoracotomy and laparotomy. Damage control procedure with towel-clip closure of the abdomen
Comments
Dr.Adnan, January 18, 2010
For what perpose the towel-clip closure of the abdomen is performed?
waiting for your reply
sparky_ny, February 05, 2010
The towel clip closure is a procedure meant as a RAPID and TEMPORARY closure of the abdomen (skin), for patients in an unstable condition, who suffered severe abdominal trauma.
It is meant to hold until edema, abdominal pressure and other factors return to normal, after which a temporary closure would be chosen, depending on how well patient progressed.
(my unprofessional opinion)
Karim, London, UK, February 09, 2010
True, but towel-clip closure has been all but abandoned in favour of leaving the abdomen open (laparostomy) with a vacuum dressing. This avoids A) Abdominal compartment syndrome and B) finding enough towel clips.
uz, June 25, 2010
but in case of non availability of vacuum dressings i thnk towel clips r beter option even now a days
sebastianscheller, buenos aires, argentina, August 20, 2010
de bogota bag is a very cheap and usefull tecnic for temporary closseure of abdominal surgery
Dr Chughtai, August 25, 2010
True bagota bag is very good but in trauma setting for damage control . towel clips seems to be the best option.We can look for signs for intra abdominal compartment syndrome and secondly , patient is scheduled for re lap early on any way .
sebastianscheller, buenos aires, argentina, August 26, 2010
sorry for my english.
we use more bogota bag,preference is about let the patient in general internationnot in ICU and not in MBA
uz, August 27, 2010
boggotta bags r basically for cases of burst abdomen bt in caes of trauma where damage control surgery z preffered n we have to re-operate properly after sumtimes dan towel clips r better option
