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A Bogota bag is a sterile
A Bogota bag is a sterile 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, c ...
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
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 larges ...
, 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 Car ...
.
These temporary abdominal closure techniques are most commonly used in cases of 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 ...
in which decompressive 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 ane ...
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
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 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
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 ...
and loss of fluids. Another advantage to the Bogota bag is that the abdominal contents can be visually inspected which is particularly useful in cases of ischemic bowel.
The Bogota bag can be used in cases of "burst abdomen" following laparotomies, especially those using a midline vertical incision. Burst abdomen is usually characterized by a serosanguinous pink discharge from the wound 6 to 8 days after surgery.
See also
*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 ...
References
External links
* {{DEFAULTSORT:Bogota Bag Surgical instruments