PMC6110995_01
First laparostomy review.. A. Appendix A's base and gravid uterus.. B. Distention and thickening of small bowel.
gr1.jpg
PMC6110995_01_gr1.jpg
fig0005
Laparostomy with progressive closure technique.
gr2.jpg
PMC6110995_01_gr2.jpg
fig0010
Further peritoneal lavage was undertaken and new laparostomy with progressive closure technique was performed. (Fig. 2) The patient recovered progressively. Four days after the first intervention she was again taken to the Operating Room for surgical revision, and the abdominal cavity was primary closed, without the need of prosthesis. (Fig. 3, Fig. 4) On the sixth postoperative day antibiotherapy was adjusted according to microbiological culture which isolated an Escherichia coli and Streptococcus orallis.
Last surgical revision.. A. Before Intervention.. B. Intraoperative: Improved bowel distention and local contamination.
gr3.jpg
PMC6110995_01_gr3.jpg
fig0015
Further peritoneal lavage was undertaken and new laparostomy with progressive closure technique was performed. (Fig. 2) The patient recovered progressively. Four days after the first intervention she was again taken to the Operating Room for surgical revision, and the abdominal cavity was primary closed, without the need of prosthesis. (Fig. 3, Fig. 4) On the sixth postoperative day antibiotherapy was adjusted according to microbiological culture which isolated an Escherichia coli and Streptococcus orallis.