Volume : IX, Issue : I, January - 2019

A prospective clinical study of laprostomy and outcomes.

Dr. Praveen Kumar

Abstract :

Introduction: Laparostomy is the process by which the fascial edges of the peritoneal cavity are left open without closure after laparotomy intentionally and hence often called OPEN ABDOMEN[1] in cases such as feacal peritonitis, biliary peritonitis and gangrenous bowel. The abdominal contents are exposed and protected with a temporary coverage. Laparostomy is currently the treatment of choice in abdominal compartment syndromes. Other indications include damage control laparotomy in poly trauma patients Aims: To know the actual incidation of laparostomy in patients with advanced peritonitis, significance of laparostomy in reducing post operative morbidity,reducing post operative mortality.To reduce the intra operative time for the first and re–look surgery in advanced peritonitis patients. Patiemts and methods: All patients who underwent laparostomy from November 2014 to December 2016 at our institute (Osmania General Hospital) in the Department of Surgery and meeting the inclusion criteria were included in the study. Inclusion Criteria: Patients of 16–65 years of age and both sexes. Results : 18 patients were included of which 15 were ,a;se and 3 were female , 8 had gross contamination, 4 long segment gangrenes , 4 cases with obstruction were primary closure of abdomen was not considered safe, 2 were EC fistula , 2 patients succumbed to death. Conclusion : Laparostomy or open abdomen is a useful emergency measure in certain conditions where there is a need for re–exploration for abdomen and cannot be closed due to gross oedema and contamination. It reduces operative time and also facilitates re–look operations. It also facilitates drainage of Intra peritoneal infected fluid and necrotic material

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

A PROSPECTIVE CLINICAL STUDY OF LAPROSTOMY AND OUTCOMES., Dr. Praveen Kumar INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-1 | January-2019

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