- Title
- The open abdomen in trauma and non-trauma patients: WSES guidelines
- Creator
- Coccolini, Federico; Roberts, Derek; Montori, Giulia; Ceresoli, Marco; Abu-Zidan, Fikri M.; Sartelli, Massimo; Velmahos, George; Fraga, Gustavo Pereira; Leppaniemi, Ari; Tolonen, Matti; Galante, Joseph; Razek, Tarek; Ansaloni, Luca; Maier, Ron; Bala, Miklosh; Sakakushev, Boris; Khokha, Vladimir; Malbrain, Manu; Agnoletti, V.; Peitzman, Andrew; Demetrashvili, Zaza; Sugrue, Michael; Di Saverio, Salomone; Ivatury, Rao; Martzi, Ingo; Soreide, Kjetil; Biffl, Walter; Ferrada, P; Parry, N; Montravers, P; Melotti, RM; Salvetti, F; Valetti, TM; Scalea, T; Gamberini, Emiliano; Chiara, O; Cimbanassi, S; Kashuk, JL; Larrea, M; Hernandez, JAM; Lin, HF; Chirica, M; Arvieux, C; Bing, C; Horer, T; Kluger, Yoram; De Simone, B; Masiakos, P; Reva, V; DeAngelis, N; Kike, K; Balogh, Zsolt J.; Fugazzola, P; Tomasoni, M; Latifi, R; Naidoo, N; Moore, Ernest E.; Weber, D; Handolin, L; Inaba, K; Hecker, A; Kuo-Ching, Y; Ordoñez, CA; Rizoli, S; Gomes, CA; De Moya, M; Wani, I; Coimbra, Raul; Mefire, AC; Boffard, K; Napolitano, L; Catena, F; Kirkpatrick, Andrew W.; Pereira, Bruno M.
- Relation
- World Journal of Emergency Surgery Vol. 13, Issue 1, no. 7
- Publisher Link
- http://dx.doi.org/10.1186/s13017-018-0167-4
- Publisher
- Biomed Central (BMC)
- Resource Type
- journal article
- Date
- 2018
- Description
- 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.
- Subject
- open abdomen; laparstomy; non-trauma; trauma; peritonitis; pancreatitis
- Identifier
- http://hdl.handle.net/1959.13/1466261
- Identifier
- uon:47492
- Identifier
- ISSN:1749-7922
- Rights
- This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
- Language
- eng
- Full Text
- Reviewed
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