Letters To The Editor
Copyright ©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Feb 7, 2008; 14(5): 815-816
Published online Feb 7, 2008. doi: 10.3748/wjg.14.815
Use of chorioamniotic membrane instead of bogota bag in open abdomen: How I Do It?
Sakir Tekin, Ahmet Tekin, Tevfik Küçükkartallar, Murat Çakir, Adil Kartal
Sakir Tekin, Ahmet Tekin, Tevfik Küçükkartallar, Murat Çakir, Adil Kartal, Department of General Surgery, Selcuk University Meram Medical Faculty Akyokus, Konya 42060, Turkey
Correspondence to: Ahmet Tekin, MD, Department of General Surgery, Selcuk University Meram Medical Faculty Akyokus, Feritpasa Mah. Gökhan Sok. Mehmet Katlrcl Apt. C Blok 11/13 Selçuklu, Konya 42060, Turkey. drtekina@hotmail.com
Telephone: +90-332-2236447
Fax: +90-332-2236184
Received: October 1, 2007
Revised: November 1, 2007
Published online: February 7, 2008
Abstract

It is one of the most important problems for general surgeons to decide which operation should be undertaken on patients with intra-abdominal infection, especially those with concomitant abdominal hypertension. Recentlly, closure techniques using prosthetic meshes in order to retain abdominal tension and to control sepsis have become very popular for patients with abdominal sepsis and hypertension. We used chorioamniotic membrane instead of plastic material to cover the open abdomen. We conclude that human chorioamniotic membrane prepared under sterile conditions may be an alternative to conventional plastic bags in daily practice, for preventing serosal erosion and fistulas in patients undergoing open abdominal surgery.

Keywords: Intraabdominal sepsis; Chorioamniotic membrane; Bogota bag