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World Journal of Emergency Surgery
Published in: World Journal of Emergency Surgery 1/2018

Open Access 01-12-2018 | Review

The open abdomen in trauma and non-trauma patients: WSES guidelines

Authors: Federico Coccolini, Derek Roberts, Luca Ansaloni, Rao Ivatury, Emiliano Gamberini, Yoram Kluger, Ernest E. Moore, Raul Coimbra, Andrew W. Kirkpatrick, Bruno M. Pereira, Giulia Montori, Marco Ceresoli, Fikri M. Abu-Zidan, Massimo Sartelli, George Velmahos, Gustavo Pereira Fraga, Ari Leppaniemi, Matti Tolonen, Joseph Galante, Tarek Razek, Ron Maier, Miklosh Bala, Boris Sakakushev, Vladimir Khokha, Manu Malbrain, Vanni Agnoletti, Andrew Peitzman, Zaza Demetrashvili, Michael Sugrue, Salomone Di Saverio, Ingo Martzi, Kjetil Soreide, Walter Biffl, Paula Ferrada, Neil Parry, Philippe Montravers, Rita Maria Melotti, Francesco Salvetti, Tino M. Valetti, Thomas Scalea, Osvaldo Chiara, Stefania Cimbanassi, Jeffry L. Kashuk, Martha Larrea, Juan Alberto Martinez Hernandez, Heng-Fu Lin, Mircea Chirica, Catherine Arvieux, Camilla Bing, Tal Horer, Belinda De Simone, Peter Masiakos, Viktor Reva, Nicola DeAngelis, Kaoru Kike, Zsolt J. Balogh, Paola Fugazzola, Matteo Tomasoni, Rifat Latifi, Noel Naidoo, Dieter Weber, Lauri Handolin, Kenji Inaba, Andreas Hecker, Yuan Kuo-Ching, Carlos A. Ordoñez, Sandro Rizoli, Carlos Augusto Gomes, Marc De Moya, Imtiaz Wani, Alain Chichom Mefire, Ken Boffard, Lena Napolitano, Fausto Catena

Published in: World Journal of Emergency Surgery | Issue 1/2018

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Abstract

Damage control resuscitation may lead to postoperative intra-abdominal hypertension or abdominal compartment syndrome. These conditions may result in a vicious, self-perpetuating cycle leading to severe physiologic derangements and multiorgan failure unless interrupted by abdominal (surgical or other) decompression. Further, in some clinical situations, the abdomen cannot be closed due to the visceral edema, the inability to control the compelling source of infection or the necessity to re-explore (as a “planned second-look” laparotomy) or complete previously initiated damage control procedures or in cases of abdominal wall disruption. The open abdomen in trauma and non-trauma patients has been proposed to be effective in preventing or treating deranged physiology in patients with severe injuries or critical illness when no other perceived options exist. Its use, however, remains controversial as it is resource consuming and represents a non-anatomic situation with the potential for severe adverse effects. Its use, therefore, should only be considered in patients who would most benefit from it. Abdominal fascia-to-fascia closure should be done as soon as the patient can physiologically tolerate it. All precautions to minimize complications should be implemented.
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Metadata
Title
The open abdomen in trauma and non-trauma patients: WSES guidelines
Authors
Federico Coccolini
Derek Roberts
Luca Ansaloni
Rao Ivatury
Emiliano Gamberini
Yoram Kluger
Ernest E. Moore
Raul Coimbra
Andrew W. Kirkpatrick
Bruno M. Pereira
Giulia Montori
Marco Ceresoli
Fikri M. Abu-Zidan
Massimo Sartelli
George Velmahos
Gustavo Pereira Fraga
Ari Leppaniemi
Matti Tolonen
Joseph Galante
Tarek Razek
Ron Maier
Miklosh Bala
Boris Sakakushev
Vladimir Khokha
Manu Malbrain
Vanni Agnoletti
Andrew Peitzman
Zaza Demetrashvili
Michael Sugrue
Salomone Di Saverio
Ingo Martzi
Kjetil Soreide
Walter Biffl
Paula Ferrada
Neil Parry
Philippe Montravers
Rita Maria Melotti
Francesco Salvetti
Tino M. Valetti
Thomas Scalea
Osvaldo Chiara
Stefania Cimbanassi
Jeffry L. Kashuk
Martha Larrea
Juan Alberto Martinez Hernandez
Heng-Fu Lin
Mircea Chirica
Catherine Arvieux
Camilla Bing
Tal Horer
Belinda De Simone
Peter Masiakos
Viktor Reva
Nicola DeAngelis
Kaoru Kike
Zsolt J. Balogh
Paola Fugazzola
Matteo Tomasoni
Rifat Latifi
Noel Naidoo
Dieter Weber
Lauri Handolin
Kenji Inaba
Andreas Hecker
Yuan Kuo-Ching
Carlos A. Ordoñez
Sandro Rizoli
Carlos Augusto Gomes
Marc De Moya
Imtiaz Wani
Alain Chichom Mefire
Ken Boffard
Lena Napolitano
Fausto Catena
Publication date
01-12-2018
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2018
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/s13017-018-0167-4

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