Controlled Open Drainage of Severe Intra-abdominal Sepsis

Stephen J. Bradley, Gregory Jurkovich, Nathan W. Pearlman, Gregory V. Stiegmann

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Controlled open drainage of the abdomen (gauze in plastic intestinal bag/surgical glove packing of abscesses; wound closure only to the degree needed to prevent evisceration) was compared with closed drainage (soft rubber or sump drains; complete fascial closure) in 31 patients with severe intraabdominal sepsis. Three (23%) of 13 patients died after open drainage vs eight (44%) of 18 after closed drainage. The difference was attributable to a lower incidence of recurrent abscesses in the former group (one recurrence) than in the latter (six recurrences). Thus, controlled open drainage may improve survival in this highly lethal condition.

Original languageEnglish (US)
Pages (from-to)629-631
Number of pages3
JournalArchives of Surgery
Volume120
Issue number5
DOIs
StatePublished - Jan 1 1985
Externally publishedYes

ASJC Scopus subject areas

  • Surgery

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