Bogota bag

Bogota Bag

A typical Bogota bag used in surgery

A Bogota bag is a medical device used in surgery to temporarily close large abdominal wounds. It is named after the city of Bogotá, Colombia, where it was first utilized. The device is essentially a sterile plastic bag, often made from a polyethylene material, which is used to cover and protect the viscera when the abdominal cavity cannot be closed immediately after surgery.

History

The concept of the Bogota bag originated in the 1980s in Bogotá, Colombia. Surgeons faced with the challenge of managing abdominal compartment syndrome and other conditions requiring temporary abdominal closure developed this innovative solution. The use of a sterile plastic bag allowed for the protection of internal organs while preventing infection and fluid loss.

Usage

The Bogota bag is primarily used in cases where the abdomen is too swollen to be closed after surgery, such as in trauma surgery, sepsis, or pancreatitis. It allows for the edema to subside and for the intra-abdominal pressure to decrease before a more permanent closure can be attempted.

Procedure

During the procedure, the surgeon places the sterile plastic bag over the exposed abdominal contents. The edges of the bag are then sutured to the skin or fascia to secure it in place. This technique provides a temporary barrier that protects the internal organs while allowing for easy access for further surgical interventions if necessary.

Advantages

The Bogota bag offers several advantages:

• Cost-effective: It is an inexpensive solution compared to other temporary closure methods.
• Ease of use: The technique is straightforward and can be quickly implemented in emergency situations.
• Flexibility: It allows for repeated access to the abdominal cavity for further surgical procedures.

Disadvantages

Despite its benefits, the Bogota bag has some limitations:

• Risk of infection: As with any open abdominal technique, there is a risk of infection.
• Fluid loss: There can be significant fluid loss from the exposed abdominal cavity.
• Limited long-term use: It is intended as a temporary measure and not suitable for long-term closure.

Related Pages

• Abdominal compartment syndrome
• Trauma surgery
• Sepsis
• Pancreatitis