open access

Vol 47, No 4 (2015)
Review articles
Published online: 2015-05-07
Submitted: 2015-04-06
Accepted: 2015-05-07
Get Citation

How to deal with an open abdomen?

Jan J. De Waele, Mark Kaplan, Michael Sugrue, Pablo Sibaja, Martin Björck
DOI: 10.5603/AIT.a2015.0023
·
Anaesthesiol Intensive Ther 2015;47(4):372-378.

open access

Vol 47, No 4 (2015)
Review articles
Published online: 2015-05-07
Submitted: 2015-04-06
Accepted: 2015-05-07

Abstract

Appropriate open abdomen treatment is one of the key elements in the management of patients who require decompressive laparotomy or in whom the abdomen is left open prophylactically. Apart from fluid control and protection from external injury, fluid evacuation and facilitation of early closure are now the goals of open abdomen treatment. Abdominal negative pressure therapy has emerged as the most appropriate method to reach these goals. Especially when combined with strategies that allow progressive approximation of the fascial edges, high closure rates can be obtained. Intra-abdominal pressure measurement can be used to guide the surgical strategy and continued attention to intra-abdominal hypertension is necessary. This paper reviews recent advances as well as identifying the remaining challenges in patients requiring open abdomen treatment. The new classification system of the open abdomen is an important tool to use when comparing the efficacy of different strategies, as well as different systems of temporary abdominal closure.

Abstract

Appropriate open abdomen treatment is one of the key elements in the management of patients who require decompressive laparotomy or in whom the abdomen is left open prophylactically. Apart from fluid control and protection from external injury, fluid evacuation and facilitation of early closure are now the goals of open abdomen treatment. Abdominal negative pressure therapy has emerged as the most appropriate method to reach these goals. Especially when combined with strategies that allow progressive approximation of the fascial edges, high closure rates can be obtained. Intra-abdominal pressure measurement can be used to guide the surgical strategy and continued attention to intra-abdominal hypertension is necessary. This paper reviews recent advances as well as identifying the remaining challenges in patients requiring open abdomen treatment. The new classification system of the open abdomen is an important tool to use when comparing the efficacy of different strategies, as well as different systems of temporary abdominal closure.

Get Citation

Keywords

open abdomen; laparostomy; damage control; negative pressure therapy

About this article
Title

How to deal with an open abdomen?

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 47, No 4 (2015)

Pages

372-378

Published online

2015-05-07

DOI

10.5603/AIT.a2015.0023

Bibliographic record

Anaesthesiol Intensive Ther 2015;47(4):372-378.

Keywords

open abdomen
laparostomy
damage control
negative pressure therapy

Authors

Jan J. De Waele
Mark Kaplan
Michael Sugrue
Pablo Sibaja
Martin Björck

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