Journal article
Open Abdomen after Two Trauma Laparotomies: Do Diuretics Help?
The American surgeon, v 88(4), pp 770-772
01 Apr 2022
PMID: 34734535
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Data are lacking regarding the use of diuretics in facilitating closure of the open abdomen (OA). For patients with an OA after 2 laparotomies, we hypothesized that diuretic use was associated with a higher rate of primary fascial closure than no diuretic use. A retrospective review of patients with trauma laparotomies over 7 years was performed. Primary fascial closure (PFC) was defined as apposition of fascial edges without interposition mesh. Of 321 patients, 30 (9%) remained with an OA after 2 laparotomies. Prior to the third laparotomy, median cumulative fluid balance was +12.6 L. Thirteen (43%) received diuretics. Primary fascial closure rates were similar for diuretic use vs no diuretic (38% vs 59%, P = .46). Primary fascial closure was not associated with age (P = .2), gender (P = 0.7), cumulative fluid balance (P = .3), or units of packed cells (P = .4). Diuretic use in trauma patients with an OA after 2 laparotomies was not associated with successful PFC.
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Details
- Title
- Open Abdomen after Two Trauma Laparotomies: Do Diuretics Help?
- Creators
- Sigrid Williamson - Reading HospitalAnas Qatanani - Reading HospitalAlison Muller - Reading HospitalAnthony Martin - Reading HospitalThomas A. Geng - Reading HospitalAdrian W. Ong - Reading Hospital
- Publication Details
- The American surgeon, v 88(4), pp 770-772
- Publisher
- Sage
- Number of pages
- 3
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:000715494100001
- Scopus ID
- 2-s2.0-85118537033
- Other Identifier
- 991022020734604721
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- Web of Science research areas
- Surgery