Dittrich K, Kriwanek S, Armbruster C
I. Chirurgische Abteilung der Krankenanstalt Rudolfstiftung der Stadt Wien, Osterreich.
Langenbecks Arch Chir. 1993;378(3):185-7. doi: 10.1007/BF00184470.
Dorso-ventral lavage procedures in the treatment of abdominal sepsis are often complicated by technical and nursing problems. With the help of the Incise Pouch, which consists of an adhesive foil with a plastic bag around it, we have succeeded in solving the main problems of the dorso-ventral lavage procedure. (1) All the lavage solution is collected in the bag and drawn into a vacuum pump. The suction drains are placed directly in the bag. This enables us to measure the lavage solution exactly. (2) There is no leakage of liquid into the bed, so that the patient remains dry. (3) The danger of intestinal fistulas or intraabdominal bleeding caused by suction drains is eliminated (by putting them into the bag of the Incise Pouch). If reexploration of the abdominal cavity ("on demand" or planned) is done, the Incise Pouch remains in position. This method makes early diagnosis and treatment of postoperative complications possible.
腹背灌洗术在治疗腹部脓毒症时常常因技术和护理问题而变得复杂。借助由带有塑料袋的粘合箔组成的切口袋，我们成功解决了腹背灌洗术的主要问题。（1）所有灌洗溶液都收集在袋中并被抽入真空泵。吸引引流管直接放置在袋中。这使我们能够精确测量灌洗溶液。（2）没有液体漏到床上，从而使患者保持干爽。（3）消除了因吸引引流管导致肠瘘或腹腔内出血的风险（通过将它们放入切口袋中）。如果进行腹腔再次探查（“按需”或计划性的），切口袋仍保持在位。这种方法使术后并发症的早期诊断和治疗成为可能。
