The effectiveness of Bogota bag application in patients with advanced severe peritonitis.

Objective: To evaluate the Bogota bag's efficacy in closing abdominal wounds that are open and have severe peritonitis following laparotomies but cannot be closed well using primary closure and in the absence of alternative closure methods. Material and Methods: Following approval from the hospital's ethical committ ee, a randomized control study involving 100 patients was carried out at the Khyber Medical Hospital in Peshawar, Pakistan. Participants had undergone a decompressive laparotomy due to severe peritonitis, and closure was accomplished either using a Bogota bag or an abdominal layer closure in the reverse sequence. Variables were gathered in a Excel sheet along with the pertinent patient data that was retrieved from the medical records in the hospital. Statistics were examined using SPSS 25. Results: This study was conducted on 100 patients divided in two groups. In terms of gender distribution, group A contained 33(66%) male patients, while group B contained 31(62%) male patients. Group A also contained 17(34%) female patients, while group B contained 19(38%) female patients. In comparison to group A [8.84±3.64 days], the mean hospital stay in group B [6.40±3.24 days] was considerably shorter (p = 0.001). The mortality and complication (infection and fistula formation) rates in group B were significantly lower than group A. Conclusion: The use of a Bogota bag to close an open abdominal wound proved successful in avoiding complications associated with open wounds or the ones that were closed under tension. [ABSTRACT FROM AUTHOR]