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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.
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]
Negative-pressure wound therapy (NPWT), also known as a vacuum assisted closure (VAC), is a therapeutic technique using a suction pump, tubing, and a dressing to remove excess wound exudate and to promote healing in acute or chronic wounds and second- and third-degree burns.
Goodfellow was the first physician known to operate successfully on abdominal gunshot wounds, which had been previously considered an all-but-certain death sentence. [12] During his career, he published 13 articles about abdominal bullet wounds based on treatments and techniques he developed while practicing medicine in Tombstone.
Jenkin's rule was the first research result in this area, showing that the then-typical use of a suture-length to wound-length ratio of 2:1 increased the risk of a burst wound, and suggesting a SL:WL ratio of 4:1 or more in abdominal wounds. [19] [20] A later study suggested 6:1 as the optimal ratio in abdominal closure. [21]
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 .
Kinetic Concepts, Inc., (KCI) is a global corporation that produces medical technology related to wounds and wound healing. KCI produced the first product developed specifically for negative pressure wound therapy. In 2013, the company employed 5,000 people and marketed its products in more than 25 countries. [2]
These dressings are generally made with a waxy coating so as to provide a total seal, and as a result do not have the absorbent properties of gauze pads. They are typically used to treat open, or "sucking," chest wounds (open pneumothorax) to prevent a tension pneumothorax (a serious complication of a simple pneumothorax). In that case, they ...