2007, Number 2
Med Crit 2007; 21 (2)
Ramírez JM, Becerril PM, Sánchez MR, Márquez EC, Torres TA, Legorreta CC
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ABSTRACTThe abdominal sepsis is produced by numerous pathologies, that derive in the necessity to maintain the abdomen with technique opened with Bogota´s bursa; the treatment of the critical care patient justify the development of new therapeutic options of between have reach more importance in our practice the system of vacuum assisted closure therapy (VAC®). The negative pressure of up to 200 mmHg, it controls the production of liquid in the wound, diminishes local edema and it removes the excessive exudate of the bed of the wound by suction, the previous thing alters the cellular cytoskeleton triggering a cascade of intracellular signals that they along with increase the cellular division and the subsequent granulation with stimulation of metalloproteinases.
The therapeutic arsenal that has the intensivist to its reach every time is more sophisticated; since on the basis of the principle of the cupping glass, by means of a biomedical equipment, we can help in the closing of an open abdomen; in this investigation we emphasized the implications in the use of this novel system in patients with abdominal sepsis.