Management of the burst abdomen is complex due to the co-morbidities associated with it. When coupled with intraabdominal sepsis and pregnancy, it becomes even more difficult due to the ethical issues that have to be considered when managing both mother and child. Due to the paucity of literature on this subject, a management algorithm has been proposed which aims at tackling this delicate issue. However, the major consideration in the management of these cases is that decisions are to be made based on optimization of the condition of the mother.
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http://dx.doi.org/10.4314/gmj.v50i2.10 | DOI Listing |
J Clin Med
January 2025
Fetal Medicine Excellence Research Center, Alessandrescu-Rusescu National Institute for Mother and Child Health, 020395 Bucharest, Romania.
Despite its low incidence, complete postoperative abdominal evisceration represents a complication requiring an urgent solution. We aimed to present a rare case of an abdominal evisceration of the omentum and small-bowel loops after a total abdominal hysterectomy and review the literature regarding this condition's diagnosis and therapeutic management. On the sixth postoperative day for a uterine fibroid, a 68-year-old patient presented with an abdominal evisceration of the omentum and small bowel that occurred two hours before.
View Article and Find Full Text PDFFront Cardiovasc Med
December 2024
Panzhihua Central Hospital, Panzhihua, Sichuan, China.
Background: Abdominal aortic aneurysm (AAA) is a localized bulge of the abdominal aorta, which mainly manifests as a pulsatile mass in the abdomen. Once an abdominal aortic aneurysm ruptures, the patient's life is seriously endangered. Surgery is the preferred treatment for abdominal aortic aneurysm.
View Article and Find Full Text PDFSurg Technol Int
December 2024
Department of Gastrointestinal and Oncological Surgery, VieCuri Medical Center, Venlo, Netherlands.
Introduction: Abdominal wall closure in postoperative burst abdomen remains challenging. Different techniques vary between definitive closure and temporary closure. The aim of this study was to examine the short-term outcomes for different closure techniques.
View Article and Find Full Text PDFIntroduction The abdomen comprises several layers that enhance its strength and flexibility, extending from the superficial to the deep layers of the anterior abdominal wall. Among these, the rectus sheath serves as a fibromuscular compartment essential for structural integrity, providing mechanical support and safeguarding the underlying tissues and organs. This study evaluates two midline closure techniques employed after midline laparotomy surgery to determine which technique offers superior strength and mechanical support.
View Article and Find Full Text PDFPan Afr Med J
October 2024
Department of Obstetrics and Gynaecology, Muhimbili National Hospital, PO Box 65000, Dar es Salaam, Tanzania.
Introduction: burst abdomen is a preventable complication of caesarean section that carries an increased risk of maternal death, especially in developing countries including Tanzania. The study aimed to identify the risk factors and high-risk patients for burst abdomen at Muhimbili National Hospital in Tanzania.
Methods: a case-control study was performed at Muhimbili National Hospital in Dar es Salaam from 2 April to 27 December 2019.
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