Skin-Only Closure Outperforms Bogota Bag in Achieving Fascial Closure
Skin-only closure (SC) showed significantly higher rates of primary fascial closure (PFC) compared to Bogota bag closure (BBC) in patients with peritonitis or abdominal trauma undergoing temporary abdominal closure (TAC). SC patients had lower rates of fascial dehiscence and wound infections. Multivariate analysis confirmed SC’s superiority in achieving PFC. Further studies are needed to confirm these findings and assess long-term outcomes of different TAC techniques.
A review finds indocyanine green fluorescence can guide anatomy and tissue perfusion in acute surgery, with the strongest clinical support for reducing anastomotic leaks.
In 48,564 Swedish elective laparoscopic cholecystectomies, achievable-care benchmarks were 0.2% for serious intraoperative events and 1.0% for severe 30-day complications—useful quality targets, not guarantees of what every unit should achieve.
In hypotensive trauma, PIV access succeeds in about two-thirds of attempts, but the odds of success fall with each repeat—making early alternatives worth considering in patients with no measurable blood pressure.
