Intestinal Obstruction, Intestinal Perforation, Trauma Abdomen
Conditions
Brief summary
It is a retrospective study. Patients, who presented with either traumatic or general surgery emergencies, undergone exploratory laparotomy, had an open abdomen management and received Direct Peritoneal Resuscitation in addition to standard resuscitation will be considered as meeting the criteria to collect the data.
Detailed description
Due to the high volume of patient transfers from different facilities with difficult intra-abdominal pathologies and the high case-mix index at Westchester Medical Center, we see many patients who require re-operations and open abdominal management. Since July1st of 2020 we have been using DPR in addition to standard iv fluids on all patients who undergo open abdominal management and it is now standard of care at our facility. we plan to collect the data from all qualified subjects who received DRP since 7/1/2020 to 6/30/2022.
Interventions
there is no intervention involved in this study.
Sponsors
Study design
Eligibility
Inclusion criteria
* Adult patients 18 years of age or older. * Trauma or General surgery patients who undergo emergency abdominal surgery via laparotomy and who had open abdominal management during the index procedure at our institution. * Patients who are transferred to our institution with an already open abdomen will also be eligible if they required continued open abdominal management.
Exclusion criteria
* Patients \<18 years are excluded.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Post operative outcomes | through out the hospitalization and 30 days after discharge. | intra abdominal infections and other complications |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| length of hospital stay | post procedure to 30 days after discharge. | includes ICU stay, ventilator days and mortality. |
Countries
United States