Okpala Amalachukwu M, Debrah Samuel A, Mouhajer Mohammed
Department of Plastic Surgery, Leeds General Infirmary, Leeds, United Kingdom.
Department of Surgery, School of Medical Sciences, University of Cape Coast, Cape Coast, Ghana.
Ghana Med J. 2016 Jun;50(2):115-8. doi: 10.4314/gmj.v50i2.10.
Management of the burst abdomen is complex due to the co-morbidities associated with it. When coupled with intraabdominal sepsis and pregnancy, it becomes even more difficult due to the ethical issues that have to be considered when managing both mother and child. Due to the paucity of literature on this subject, a management algorithm has been proposed which aims at tackling this delicate issue. However, the major consideration in the management of these cases is that decisions are to be made based on optimization of the condition of the mother.
由于与之相关的合并症,爆裂性腹部的处理很复杂。当合并腹腔内感染和妊娠时,由于在处理母婴时必须考虑伦理问题,情况变得更加困难。由于关于该主题的文献匮乏,已提出一种处理算法,旨在解决这一棘手问题。然而,这些病例处理中的主要考虑因素是,决策应基于母亲状况的优化来做出。