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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.
Access instrument. Used to create an opening into a space without opening the abdominal cavity. A camera is inserted through one to view the interior while instruments are inserted through the others to manipulate the organs. Ultrasonic energy device Surgical device typically used to dissect tissue, but also seals small vessels and tissue bundles
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]
[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 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 .
The area is subjected to a variety of loads approaching from abdominal contents, pressure from abdominal/diaphragm muscles, and genital organs, as well as respiratory actions. For the average, reproductive-age woman, the pelvis must withstand loads of 20 N in the supine position, 25-35 N in the standing position, and 90-130 N whilst coughing. [ 6 ]
The dressing is easy to remove from the wound without causing any damage. The dressing is also non-irritant. Therefore, it is used for dry necrotic wound, necrotic wound, pressure ulcers, and burn wound. It is not suitable for wounds with heavy discharge and infected wounds. [9]
After surgery, drains can be placed to remove blood, lymph, or other fluids that accumulate in the wound bed. This helps to promote wound healing and allows healthcare providers to monitor the wound for any signs of internal infection or damage to surgically repaired structures.