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World J Gastrointest Pharmacol Ther. Jun 5, 2026; 17(2): 118848
Published online Jun 5, 2026. doi: 10.4292/wjgpt.v17.i2.118848
Published online Jun 5, 2026. doi: 10.4292/wjgpt.v17.i2.118848
Low-cost dynamic fascial traction using serial Bogota bag tightening in open abdomen management: A prospective randomized study
Kamesh Balhara, Ashish Sikaria, Dinesh Saini, Nikhil Gupta, Nitin Agarwal, Apoorva Mardi, Department of Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, Delhi 110001, India
Himanshu Agrawal, Department of Surgery, University College of Medical Sciences (University of Delhi), GTB Hospital, Delhi 110095, India
Co-corresponding authors: Himanshu Agrawal and Nikhil Gupta.
Author contributions: Balhara K and Sikaria A conceptualized and designed the study; Saini D, Agrawal H, and Gupta N were involved in patient recruitment, data acquisition, and clinical management; Agarwal N and Mardi A performed data analysis and interpretation; Agrawal H drafted the manuscript. All authors contributed to critical revision of the manuscript for important intellectual content, approved the final version, and agree to be accountable for all aspects of the work. The designation of two co-corresponding authors for this manuscript is justified by the complementary and substantive roles played by both individuals throughout the lifecycle of the study. Agrawal H was centrally involved in the day-to-day execution of the research, including patient recruitment, clinical management, data acquisition, and primary drafting of the manuscript. He also coordinated internal discussions among co-authors and ensured adherence to ethical and methodological standards. In parallel, Gupta N provided senior academic oversight, contributed significantly to study conception, supervised data interpretation, and guided critical revisions to strengthen the scientific rigor and clinical relevance of the work. Importantly, both authors are affiliated with different institutions, which facilitated multicentric coordination, administrative communication, and responsiveness to editorial and reviewer queries. Designating them as co-corresponding authors ensures continuity, accountability, and timely communication during peer review and post-publication correspondence, while accurately reflecting their shared leadership, intellectual responsibility, and sustained commitment to the study.
Institutional review board statement: This study was reviewed and approved by the Institutional Ethics Committee of Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, India, Approval No. F.No. TP (MD/MS) (28/2022)/IEC/ABVIMS/RMLH/1194, dated 13 March 2023. The study was conducted in accordance with the ethical principles of the Declaration of Helsinki.
Clinical trial registration statement: This study was not registered in a clinical trial registry, as trial registration was not mandated at the time of study initiation.
Informed consent statement: Written informed consent was obtained from all participants or their legally authorized representatives prior to enrollment in the study.
Conflict-of-interest statement: The authors declare that they have no conflict of interest related to this study.
CONSORT 2010 statement: The authors have read the CONSORT 2010 Statement, and the manuscript was prepared and revised according to the CONSORT 2010 Statement.
Data sharing statement: The datasets generated and/or analyzed during the current study are available from the corresponding author on reasonable request.
Corresponding author: Nikhil Gupta, Department of Surgery, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, BKS Marg, Delhi 110001, India.
Received: January 13, 2026
Revised: January 29, 2026
Accepted: February 25, 2026
Published online: June 5, 2026
Processing time: 135 Days and 3.2 Hours
Revised: January 29, 2026
Accepted: February 25, 2026
Published online: June 5, 2026
Processing time: 135 Days and 3.2 Hours
Core Tip
Core Tip: Dynamic fascial traction (DFT) improves outcomes in open abdomen management but is often limited by cost and resource requirements. This prospective randomized study demonstrates that serial tightening of a simple Bogota bag provides an effective, bedside, and low-cost alternative for achieving DFT, significantly reducing time to abdominal wall approximation and hospital stay without added complications-an approach particularly relevant to low- and middle-income healthcare settings.