Low-cost dynamic fascial traction using serial Bogota bag tightening in open abdomen management: A prospective randomized study

Figure 1 Modified Bogota bag flap technique for dynamic fascial traction in open abdomen. A: The edges of an open abdominal wound sutured to two separate plastic Bogota bags (cut-open urine collecting bag) to create two flaps; B: The flaps are sutured in the center with continuous polypropylene or nylon sutures to create traction on the edges.

Figure 2 Challenging open abdomen after pancreatic necrosectomy with limited feasibility of dynamic fascial traction. A: An exceptionally difficult open abdomen following pancreatic necrosectomy; B: Two complete bags used after suturing them together; dynamic fascial traction (DFT) not feasible due to large domain loss; C: After 3 weeks of partial DFT, the skin gap is still significant and might need split skin grafting.