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Bogota Bag
A Bogota bag is a sterile plastic bag used for closure of abdominal wounds. It is generally a sterilized genitourinary irrigation bag that is sewn to the skin or fascia of the anterior abdominal wall. Its use was first described by Oswaldo Borraez while he was a resident in Bogotá, Colombia. These temporary abdominal closure techniques are most commonly used in cases of abdominal compartment syndrome in which decompressive laparotomy is necessary to reduce intra-abdominal pressure to restore blood flow. The Bogota bag is used to postpone definite closure until the underlying cause of the elevated intra-abdominal pressure can be resolved. Other techniques include the use of absorbable mesh, the Wittmann patch, negative pressure wound therapy and dynamic closure systems. These techniques are characterized by a tension-free closure. In addition, the Bogota bag acts as a hermetic barrier that prevents disembowelment and loss of fluids. Another advantage to the Bogota bag is that th ...
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Bogota Bag
A Bogota bag is a sterile plastic bag used for closure of abdominal wounds. It is generally a sterilized genitourinary irrigation bag that is sewn to the skin or fascia of the anterior abdominal wall. Its use was first described by Oswaldo Borraez while he was a resident in Bogotá, Colombia. These temporary abdominal closure techniques are most commonly used in cases of abdominal compartment syndrome in which decompressive laparotomy is necessary to reduce intra-abdominal pressure to restore blood flow. The Bogota bag is used to postpone definite closure until the underlying cause of the elevated intra-abdominal pressure can be resolved. Other techniques include the use of absorbable mesh, the Wittmann patch, negative pressure wound therapy and dynamic closure systems. These techniques are characterized by a tension-free closure. In addition, the Bogota bag acts as a hermetic barrier that prevents disembowelment and loss of fluids. Another advantage to the Bogota bag is that th ...
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Plastic Bag
A plastic bag, poly bag, or pouch is a type of container made of thin, flexible, plastic film, nonwoven fabric, or plastic textile. Plastic bags are used for containing and transporting goods such as foods, produce, powders, ice, magazines, chemicals, and waste. It is a common form of packaging. Most plastic bags are heat sealed at the seams, while some are bonded with adhesives or are stitched. Many countries are introducing legislation to phase-out lightweight plastic bags, because plastic never fully breaks down, causing everlasting pollution of plastics and environmental impacts. Every year, about 1 to 5 trillion plastic bags are used and discarded around the world. From point of sale to destination, plastic bags have a lifetime of 12 minutes. Approximately 320 bags per capita were used in 2014 in the United States of America. Package Several design options and features are available. Some bags have gussets to allow a higher volume of contents, special stand-up p ...
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Bogotá
Bogotá (, also , , ), officially Bogotá, Distrito Capital, abbreviated Bogotá, D.C., and formerly known as Santa Fe de Bogotá (; ) during the Spanish period and between 1991 and 2000, is the capital city of Colombia, and one of the largest cities in the world. The city is administered as the Capital District, as well as the capital of, though not part of, the surrounding department of Cundinamarca. Bogotá is a territorial entity of the first order, with the same administrative status as the departments of Colombia. It is the political, economic, administrative, and industrial center of the country. Bogotá was founded as the capital of the New Kingdom of Granada on 6 August 1538 by Spanish conquistador Gonzalo Jiménez de Quesada after a harsh expedition into the Andes conquering the Muisca, the indigenous inhabitants of the Altiplano. Santafé (its name after 1540) became the seat of the government of the Spanish Royal Audiencia of the New Kingdom of Granada (cre ...
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Colombia
Colombia (, ; ), officially the Republic of Colombia, is a country in South America with insular regions in North America—near Nicaragua's Caribbean coast—as well as in the Pacific Ocean. The Colombian mainland is bordered by the Caribbean Sea to the north, Venezuela to the east and northeast, Brazil to the southeast, Ecuador and Peru to the south and southwest, the Pacific Ocean to the west, and Panama to the northwest. Colombia is divided into 32 departments and the Capital District of Bogotá, the country's largest city. It covers an area of 1,141,748 square kilometers (440,831 sq mi), and has a population of 52 million. Colombia's cultural heritage—including language, religion, cuisine, and art—reflects its history as a Spanish colony, fusing cultural elements brought by immigration from Europe and the Middle East, with those brought by enslaved Africans, as well as with those of the various Amerindian civilizations that predate colonization. Spanish is th ...
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Abdominal Compartment Syndrome
Abdominal compartment syndrome (ACS) occurs when the abdomen becomes subject to increased pressure reaching past the point of intra-abdominal hypertension (IAH). ACS is present when intra-abdominal pressure rises and is sustained at > 20 mmHg and there is new organ dysfunction or failure. ACS is classified into three groups: Primary, secondary and recurrent ACS. It is not a disease and as such it occurs in conjunction with many disease processes, either due to the primary illness or in association with treatment interventions. Specific cause of abdominal compartment syndrome is not known, although some causes can be sepsis and severe abdominal trauma. Increasing pressure reduces blood flow to abdominal organs and impairs pulmonary, cardiovascular, renal, and gastro-intestinal (GI) function, causing obstructive shock, multiple organ dysfunction syndrome and death. Causes * Peritoneal tissue edema secondary to diffuse peritonitis, abdominal trauma * Fluid therapy due to massive vo ...
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Laparotomy
A laparotomy is a surgical procedure involving a surgical incision through the abdominal wall to gain access into the abdominal cavity. It is also known as a celiotomy. Origins and history The first successful laparotomy was performed without anesthesia by Ephraim McDowell in 1809 in Danville, Kentucky. On July 13, 1881, George E. Goodfellow treated a miner outside Tombstone, Arizona Territory, who had been shot in the abdomen with a .32-caliber Colt revolver. Goodfellow was able to operate on the man nine days after he was shot, when he performed the first laparotomy to treat a bullet wound. Terminology The term comes from the Greek word λᾰπάρᾱ (lapara) 'the soft part of the body between the ribs and hip, flank' and the suffix ''-tomy'', from the Greek word τομή (tome) '(surgical) cut'. In diagnostic laparotomy (most often referred to as an exploratory laparotomy and abbreviated ex-lap), the nature of the disease is unknown, and laparotomy is deemed the best way ...
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Wittmann Patch
The Wittmann Patch is a temporary abdominal fascia prosthesis for the planned open abdomen to ease the management of cases where the abdomen cannot be closed due to abdominal compartment syndrome or because multiple further operations are planned (damage control repair CR. It consists of a sterile hook and a sterile loop sheet made from propylene and nylon. History The Wittmann Patch was invented by Dietmar H. Wittmann in 1987 while he was a professor of surgery at the University of Hamburg's School of Medicine in Hamburg Germany. Wittmann continued research on the Wittmann Patch fascia prosthesis in the Department of Surgery at the Medical College of Wisconsin. The fascia prosthesis became commercially available in Europe in 1992 (HIDIH-Surgical) and in the US in 2000 (Starsurgical, Inc). Synonyms *Fascia Prosthesis, *Abdominal Fascia Prosthesis, *Temporary Abdominal Fascia Prosthesis, *Artificial Bur, *Bur Patch, *Abdominal Bur Closure (ABC-Patch) Trade names Wittmann Patch ...
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Negative-pressure Wound Therapy
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 exudate and promote healing in acute or chronic wounds and second- and third-degree burns. The therapy involves the controlled application of subatmospheric pressure to the local wound environment using a sealed wound dressing connected to a vacuum pump. 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 types of skin grafts, burns, sternal wounds. It may also be considered after a clean surgery in a person who is obese. NPWT is performed by applying a vacuum through a special sealed dressing. The continued vacuum draws ou ...
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Disembowelment
Disembowelment or evisceration is the removal of some or all of the organs of the gastrointestinal tract (the bowels, or viscera), usually through a horizontal incision made across the abdominal area. Disembowelment may result from an accident but has also been used as a method of torture and execution. In such practices, disembowelment may be accompanied by other forms of torture, or the removal of other vital organs. Disembowelment as torture If a living creature is disemboweled, it is invariably fatal without major medical intervention. Historically, disembowelment has been used as a severe form of capital punishment. If the intestinal tract alone is removed, death follows after several hours of gruesome pain. The victim will often be fully conscious while the torture is performed if the vital organs aren't damaged, and will be able to see their intestine being removed, but will eventually lose consciousness due to blood loss. However, in some forms of intentional disembo ...
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Ischemic Bowel (other)
Ischemic bowel may refer to: *Ischemic colitis, ischemia of the large bowel *Mesenteric ischemia Intestinal ischemia is a medical condition in which injury to the large or small intestine occurs due to not enough blood supply. It can come on suddenly, known as acute intestinal ischemia, or gradually, known as chronic intestinal ischemia. The ...
, ischemia of the small bowel {{disambiguation ...
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Laparotomy
A laparotomy is a surgical procedure involving a surgical incision through the abdominal wall to gain access into the abdominal cavity. It is also known as a celiotomy. Origins and history The first successful laparotomy was performed without anesthesia by Ephraim McDowell in 1809 in Danville, Kentucky. On July 13, 1881, George E. Goodfellow treated a miner outside Tombstone, Arizona Territory, who had been shot in the abdomen with a .32-caliber Colt revolver. Goodfellow was able to operate on the man nine days after he was shot, when he performed the first laparotomy to treat a bullet wound. Terminology The term comes from the Greek word λᾰπάρᾱ (lapara) 'the soft part of the body between the ribs and hip, flank' and the suffix ''-tomy'', from the Greek word τομή (tome) '(surgical) cut'. In diagnostic laparotomy (most often referred to as an exploratory laparotomy and abbreviated ex-lap), the nature of the disease is unknown, and laparotomy is deemed the best way ...
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Instruments Used In General Surgery
There are many different surgical specialties, some of which require very specific kinds of surgical instruments to perform. General surgery is a specialty focused on the abdominal contents, as well as the thyroid gland, and diseases involving skin, breasts, various soft tissues, trauma, peripheral vascular disease, hernias, and endoscopic procedures. This page is dedicated specifically to listing surgical instruments used in general surgery. Instruments can be classified in many ways - but broadly speaking, there are five kinds of instruments. # Cutting and dissecting instruments: #*Scalpels, scissors, and saws are the most traditional #*Elevators can be both cutting and lifting/retracting #*Although the term dissection is broad, energy devices such as diathermy/cautery are often used as more modern alternatives. # Grasping or holding instruments: #*Classically this included forceps and clamps predominantly #*Roughly, forceps can be divided into traumatic (tissue crushin ...
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