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Bogota bag used in the treatment of abdominal compartment syndrome. [1]A Bogota bag is a sterile plastic bag used for closure of abdominal wounds. [2] It is generally a sterilized 3-liter (0.66 imp gal; 0.79 U.S. gal) genitourinary irrigation bag that is sewn to the skin or fascia of the anterior abdominal wall.
[1] [2] [3] The use of this technique in wound management started in the 1990s and this technique is often recommended for treatment of a range of wounds including dehisced surgical wounds, closed surgical wounds, open abdominal wounds, open fractures, pressure injuries or pressure ulcers, diabetic foot ulcers, venous insufficiency ulcers, some ...
The type of wound (incision, laceration, puncture, etc.) has a major effect on the way a wound is managed, as does the area of the body affected and presence of any foreign objects in the wound. A serious wound or any complication may require a call to emergency medical services. Any wound requires being disinfected after it stops bleeding.
Newer versions, such as T3 and the 9T, include features such as gauze for additional wrapping, extra pads, abdominal pads to cover eviscerations, and moisture seals to cover wounds and burns. The bandages come in three sizes: 4, 6, and 8 inches wide. [2] The bandage was favorably reviewed in the Military Medicine journal. [2]
This is the first part of the damage control process whereby there are some clear-cut goals surgeons should achieve. The first is controlling hemorrhage followed by contamination control, abdominal packing, and placement of a temporary closure device. [5] Minimizing the length of time spent in this phase is essential.
Stop bleeding – to help to seal the wound to expedite the clotting process; Protection from infection – to defend the wound against germs and mechanical damage; Absorb exudate – to soak up blood, plasma, and other fluids exuded from the wound, containing it/them in one place and preventing maceration;
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The wound can be allowed to close by secondary intention. Alternatively, if the infection is cleared and healthy granulation tissue is evident at the base of the wound, the edges of the incision may be reapproximated, such as by using butterfly stitches , staples or sutures .