Abstract

BORJA-GONZALEZ, Juana Bautista; SALAS, Roxana De las  and  ORTA-VISBAL, Kevin. A 27 year-old men with an open abdominal wound healing by second intention: case report. Salud, Barranquilla [online]. 2018, vol.34, n.1, pp.212-219. ISSN 0120-5552.  https://doi.org/10.14482/sun.34.1.9569.

A 27-year-old male is presented with a complex open abdominal wound, diagnosis of severe abdominal sepsis and multisystem organ failure associated to recurrent acute pancreatitis. Other signs and symptoms were acute abdominal pain and distension, obesity, tachypnea, xanthomas and signs of fluid sequestration. Triglycerides 3450mg / dL, amylase 1212 U / L were some lab results. Abdominal tomography showed a pancreatic inflammatory process with severity index E (4 points), necrosis and laminar effusions in the pancreas. Management in the Adult Intensive Care Unit (ICU) was necessary. Exploratory laparotomy and abdominal decompression were performed due to compartment syndrome, in order to do therapeutic peritoneal lavage and necrosectomy . A Bogota bag was installed during management. Using criteria, the surgical wound closure was initiated by secondary intention using advanced wound care treatment. It showed favorable results in patient recovery.

Keywords : Nursing; Wounds and Injuries; Sepsis; Abdominal Wound Closure Techniques.

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