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Prolonged Open Abdomen

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Encyclopedia of Trauma Care
  • 116 Accesses

Synonyms

Laparostomy; Open abdomen

Definition

A procedure in which the fascia is left open intentionally to avoid elevation of intra-abdominal pressure (IAP) and where surgical re-exploration is desirable. Temporary abdominal closure (TAC) is achieved using a dressing or technology intended to protect the exposed viscera.

In the management of various surgical conditions including peritonitis, intra-abdominal trauma, and mesenteric ischemia, early definitive closure of the abdominal wall (i.e., closure of the fascial layer and skin) may place the patient at risk of developing intra-abdominal hypertension (IAH) and/or abdominal compartment syndrome (ACS) (Table 1).

Prolonged Open Abdomen, Table 1 Causes of ACS

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References

  • Burlew CC, Moore EE, Biffl WL, Bensard DD, Johnson JL, Barnett CC (2012) One hundred percent fascial approximation can be achieved in the postinjury open abdomen with a sequential closure protocol. J Trauma Acute Care Surg 72(1):235–241

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  • Fitzgerald JE, Gupta S, Masterson S, Sigurdsson HH (2012) Laparostomy management using the ABThera open abdomen negative pressure therapy system in a grade IV open abdomen secondary to acute pancreatitis. Int Wound J

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  • Kirshtein B, Roy-Shapira A, Lantsberg L, Mizrahi S (2007) Use of the “Bogota bag” for temporary abdominal closure in patients with secondary peritonitis. Am Surg 73(3):249–252

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Correspondence to Mansoor Khan .

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© 2015 Springer-Verlag Berlin Heidelberg

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Khan, M. (2015). Prolonged Open Abdomen. In: Papadakos, P.J., Gestring, M.L. (eds) Encyclopedia of Trauma Care. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29613-0_146

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  • DOI: https://doi.org/10.1007/978-3-642-29613-0_146

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-29611-6

  • Online ISBN: 978-3-642-29613-0

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