Role of the Open Abdomen in Critically Ill Patients. Crit Care Clin 2016 Apr;32(2):255-64
Date
03/27/2016Pubmed ID
27016166DOI
10.1016/j.ccc.2015.12.003Scopus ID
2-s2.0-84961250013 (requires institutional sign-in at Scopus site) 17 CitationsAbstract
An open abdomen is common used in critically ill patients to temporize permanent abdominal closure. The most common reason for leaving the abdomen open by reopening a laparotomy, not closing, or creating a fresh laparotomy is the abdominal compartment syndrome. The open abdomen technique is also used in damage control operations and intra-abdominal sepsis. Negative pressure wound therapy may be associated with better outcomes than other temporary abdominal closure techniques. The open abdomen is associated with many early and late complications, including infections, gastrointestinal fistulas, and ventral hernias. Clinicians should be vigilant regarding the development of these complications.
Author List
Beckman M, Paul J, Neideen T, Weigelt JAAuthors
Marshall A. Beckman MD Professor in the Surgery department at Medical College of WisconsinTodd A. Neideen MD Associate Professor in the Surgery department at Medical College of Wisconsin
MESH terms used to index this publication - Major topics in bold
Abdominal InjuriesAbdominal Wound Closure Techniques
Critical Care
Critical Illness
Humans
Intra-Abdominal Hypertension
Negative-Pressure Wound Therapy
Postoperative Complications
Treatment Outcome
