Abstract

CABALLERO AREVALO, Ana María; DAZA CABALLERO, Miroslava  and  LARA PEREZ, Carlos Alberto. HOSTILE ABDOMEN: SURGICAL COMPLICATION AFTER 9 INTERVENTIONS. Rev Cient Cienc Méd [online]. 2018, vol.21, n.1, pp.107-112. ISSN 2077-3323.

The hostile abdomen is a severe complication, resulting of multiple emergency surgical interventions, performed to control septic abdominal processes, anastomotic leakage, and postoperative complications and avoid a compartment syndrome. This sequence of surgeries lead to the creation of ostomies, aponeurotic retraction and the formation of intraperitoneal fibrous adhesions; creating a difficult abdomen to approach at the moment of reconstruction and abdominal closure once the acute phase is over.The clinical case of a 24 year-old male patient is presented, with a history of nine surgeries due to a complicated appendicitis, carrying an ileostomy, giant insicional hernia and a frozen abdomen. He came for the restitution of intestinal transit and repair the hernia defect; representing surgical challenge of a multidisciplinary management with high psychological as economic impact for the patient, where decisions are based on intraoperative findings.

Keywords : Adhesions; abdomen; peritonitis; sepsis.

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