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Published in: World Journal of Emergency Surgery 1/2017

Open Access 01-12-2017 | Review

The role of open abdomen in non-trauma patient: WSES Consensus Paper

Authors: Federico Coccolini, Giulia Montori, Marco Ceresoli, Fausto Catena, Ernest E. Moore, Rao Ivatury, Walter Biffl, Andrew Peitzman, Raul Coimbra, Sandro Rizoli, Yoram Kluger, Fikri M. Abu-Zidan, Massimo Sartelli, Marc De Moya, George Velmahos, Gustavo Pereira Fraga, Bruno M. Pereira, Ari Leppaniemi, Marja A. Boermeester, Andrew W. Kirkpatrick, Ron Maier, Miklosh Bala, Boris Sakakushev, Vladimir Khokha, Manu Malbrain, Vanni Agnoletti, Ignacio Martin-Loeches, Michael Sugrue, Salomone Di Saverio, Ewen Griffiths, Kjetil Soreide, John E. Mazuski, Addison K. May, Philippe Montravers, Rita Maria Melotti, Michele Pisano, Francesco Salvetti, Gianmariano Marchesi, Tino M. Valetti, Thomas Scalea, Osvaldo Chiara, Jeffry L. Kashuk, Luca Ansaloni

Published in: World Journal of Emergency Surgery | Issue 1/2017

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Abstract

The open abdomen (OA) is defined as intentional decision to leave the fascial edges of the abdomen un-approximated after laparotomy (laparostomy). The abdominal contents are potentially exposed and therefore must be protected with a temporary coverage, which is referred to as temporal abdominal closure (TAC). OA use remains widely debated with many specific details deserving detailed assessment and clarification. To date, in patients with intra-abdominal emergencies, the OA has not been formally endorsed for routine utilization; although, utilization is seemingly increasing. Therefore, the World Society of Emergency Surgery (WSES), Abdominal Compartment Society (WSACS) and the Donegal Research Academy united a worldwide group of experts in an international consensus conference to review and thereafter propose the basis for evidence-directed utilization of OA management in non-trauma emergency surgery and critically ill patients. In addition to utilization recommendations, questions with insufficient evidence urgently requiring future study were identified.
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Metadata
Title
The role of open abdomen in non-trauma patient: WSES Consensus Paper
Authors
Federico Coccolini
Giulia Montori
Marco Ceresoli
Fausto Catena
Ernest E. Moore
Rao Ivatury
Walter Biffl
Andrew Peitzman
Raul Coimbra
Sandro Rizoli
Yoram Kluger
Fikri M. Abu-Zidan
Massimo Sartelli
Marc De Moya
George Velmahos
Gustavo Pereira Fraga
Bruno M. Pereira
Ari Leppaniemi
Marja A. Boermeester
Andrew W. Kirkpatrick
Ron Maier
Miklosh Bala
Boris Sakakushev
Vladimir Khokha
Manu Malbrain
Vanni Agnoletti
Ignacio Martin-Loeches
Michael Sugrue
Salomone Di Saverio
Ewen Griffiths
Kjetil Soreide
John E. Mazuski
Addison K. May
Philippe Montravers
Rita Maria Melotti
Michele Pisano
Francesco Salvetti
Gianmariano Marchesi
Tino M. Valetti
Thomas Scalea
Osvaldo Chiara
Jeffry L. Kashuk
Luca Ansaloni
Publication date
01-12-2017
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2017
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/s13017-017-0146-1

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