Soto GM, Valencia RJ, López OR

Language: Spanish
References: 14
Page: 13-17
PDF size: 70.59 Kb.

ABSTRACT

Objective: To describe a methodology for the treatment of infected abdominal surgical wounds, which allows to decrease resolution time, relieves suffering of the patient, and improves final functional and aesthetic results of the healing process.
Design: Descriptive, longitudinal, prospective study without control group.
Setting: Second level health care hospital.
Patients and methods: In 24 patients with infected abdominal surgical wounds due to diverse pathologies, the following treatment methodology was used: 1) triple antibiotics scheme, 2) radical debridement of macroscopically infected tissues, 3) lavage of the surgical bed with diluted 50% povidoneiodine foam, 4) placement of drains by closed circuit aspiration, 5) anatomical reconstruction of the surgical plains, and 6) primary closure of the wound.
Results: The underlying pathologic processes conditioning infection of the surgical wound were mostly: appendicitis, colon or ileum lesions, and cholecystitis. Eleven patients were obese and two were diabetics. Associated intra-abdominal residual sepsis was found in 16 patients; five patients were subjected to additional major surgical procedures. The 24 infected surgical wounds were rescued, achieving their cure in 7 days. No deaths occurred. Four patients developed post-incisional hernias.
Conclusion: This treatment methodology is aggressive and differs from traditional therapeutic procedures, but it is efficacious to cure in a short time infected abdominal surgical wounds.

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