(Corporación Universitaria Lasallista, 2014-10-22) Palacio Marín, Laura; Alzate Velásquez, David
Inflammation of the abdominal cavity called
peritonitis, can be generated spontaneously
or as a result of pre-existing intra-abdominal
pathologies. The clinical signs usually progress
rapidly until the development of sepsis and septic
shock, and then the prognosis is reserved, with
a mortality rate of 70% approximately. The
common cause is the presence of gastrointestinal
tract contents in the abdominal cavity, being the
treatment of choice the informal closure of the
abdominal wall, maintaining the abdomen open
and facilitating the process of peritoneal dialysis,
by the technique called “bogota bag”, which is
performed in order to keep the abdomen open
and the organs covert to prevent microorganism
contaminationl. This technique looks for the
active and periodic drainage of the abdominal
cavity, to help in the elimination of inflammation
factors, prevent the adhesion of the peritoneum
to abdominal organs and facilitate the expansion
of the organs avoiding arterial and venous
compression. This system is complemented
by wet dressings and drainage tubes over the
polyurethane bag, connecting this to a vacuum
system getting negative pressure of 100 to 150
mmHg, with the use of a polyester adhesive
plastic that covers the abdomen, allowing
efficiently drainage with reduction of fluids,
avoiding viscera drying, controlling fluid loss and
inducing the formation of granulation tissue.
