Role of the Open Abdomen in Critically Ill Patients.

Crit Care Clin

Division of Trauma Surgery and Critical Care, Department of Surgery, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA. Electronic address:

Published: April 2016

AI Article Synopsis

  • The open abdomen technique is often utilized in critically ill patients to delay permanent abdominal closure, primarily due to conditions like abdominal compartment syndrome.
  • Negative pressure wound therapy has shown potential for improved outcomes over other temporary closure methods.
  • However, the open abdomen approach carries risks of complications, such as infections, gastrointestinal fistulas, and ventral hernias, necessitating careful monitoring by clinicians.

Article Abstract

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.

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http://dx.doi.org/10.1016/j.ccc.2015.12.003DOI Listing

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