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World Journal of Emergency Surgery
Published in: World Journal of Emergency Surgery 1/2015

Open Access 01-12-2015 | Review

The open abdomen, indications, management and definitive closure

Authors: Federico Coccolini, Walter Biffl, Fausto Catena, Marco Ceresoli, Osvaldo Chiara, Stefania Cimbanassi, Luca Fattori, Ari Leppaniemi, Roberto Manfredi, Giulia Montori, Giovanni Pesenti, Michael Sugrue, Luca Ansaloni

Published in: World Journal of Emergency Surgery | Issue 1/2015

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Abstract

The indications for Open Abdomen (OA) are generally all those situations in which is ongoing the development an intra-abdominal hypertension condition (IAH), in order to prevent the development of abdominal compartmental syndrome (ACS). In fact all those involved in care of a critically ill patient should in the first instance think how to prevent IAH and ACS. In case of ACS goal directed therapy to achieve early opening and early closure is the key: paradigm of closure shifts to combination of therapies including negative pressure wound therapy and dynamic closure, in order to reduce complications and avoid incisional hernia.
There have been huge studies and progress in survival of critically ill trauma and septic surgical patients: this in part has been through the great work of pioneers, scientific societies and their guidelines; however future studies and continued innovation are needed to better understand optimal treatment strategies and to define more clearly the indications, because OA by itself is still a morbid procedure.
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Metadata
Title
The open abdomen, indications, management and definitive closure
Authors
Federico Coccolini
Walter Biffl
Fausto Catena
Marco Ceresoli
Osvaldo Chiara
Stefania Cimbanassi
Luca Fattori
Ari Leppaniemi
Roberto Manfredi
Giulia Montori
Giovanni Pesenti
Michael Sugrue
Luca Ansaloni
Publication date
01-12-2015
Publisher
BioMed Central
Published in
World Journal of Emergency Surgery / Issue 1/2015
Electronic ISSN: 1749-7922
DOI
https://doi.org/10.1186/s13017-015-0026-5

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