Bogota bag temporary abdominal closure surgical technique in children: A 15-year single center experience

Eitan Neeman, Nitza Heiman Newman, Yuval Cavari, Yael Feinstein, Yulia Fuxman, Isaac Lazar

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Temporary abdominal closure (TAC) surgical technique relates to a procedure in which the post-surgical abdominal wall remains open in certain indications. The Bogota bag (BB) technique is a tension-free TAC method that covers the abdominal contents with a sterilized fluid bag. There are very few reports of pediatric patients treated with this technique. Objectives: To describe our institution's 15 years of experience using the BB technique on pediatric patients. Methods: A retrospective cohort study describing our experience treating patients with BB was conducted. The medical files of 17 pediatric patients aged 0-18 years were reviewed. Results: Between January 2000 and December 2014,17 patients were treated with BB at our medical center (6 females, median age 12 years). Indications for BB were a need for a surgical site re-exploration, mechanical inability for primary abdominal closure, and high risk for ACS development. Median BB duration was 5 days and median bag replacement was 2 days. Median ICU length of stay (LOS) was 10 days and hospital LOS was 27 days. The ICU admission and BB procedure was tolerated well by 6 patients who were discharged home without complications. Of the remaining 11 patients, 6 patients died during the admission (35%) and the others presented with major complications not related to the BB but to the patient's primary disease. Conclusions: This report represents the largest series of children treated with BB. The technique is simple to perform, inexpensive, and has very few complications.

Original languageEnglish
Pages (from-to)43-47
Number of pages5
JournalIsrael Medical Association Journal
Volume22
Issue number1
StatePublished - 1 Jan 2020

Keywords

  • Abdominal compartment syndrome (ACS)
  • Bogota bag
  • Pediatric intensive care unit (PICU)
  • Pediatric surgery
  • Temporary abdominal closure (TAC)

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