1. The role of open abdomen in non-trauma patient: WSES Consensus Paper
- Author
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Federico Coccolini, Fausto Catena, Manu L N G Malbrain, Giulia Montori, Vladimir Khokha, Salomone Di Saverio, Marja A. Boermeester, Boris Sakakushev, Ernest E. Moore, Ewen A. Griffiths, Ignacio Martin-Loeches, Michael Sugrue, George C. Velmahos, Gianmariano Marchesi, Marco Ceresoli, Andrew B. Peitzman, Gustavo Pereira Fraga, Kjetil Søreide, Andrew W. Kirkpatrick, Bruno M. Pereira, Osvaldo Chiara, Ari Leppäniemi, Vanni Agnoletti, Tino Martino Valetti, Addison K. May, Walter L. Biffl, Luca Ansaloni, Thomas M. Scalea, Fikri M. Abu-Zidan, Yoram Kluger, Francesco Salvetti, Jeffry L. Kashuk, Rita Maria Melotti, Miklosh Bala, Raul Coimbra, Michele Pisano, Massimo Sartelli, John E. Mazuski, Philippe Montravers, R. V. Maier, Rao R. Ivatury, Sandro Rizoli, Marc de Moya, Coccolini, Federico, Montori, Giulia, Ceresoli, Marco, Catena, Fausto, Moore, Ernest E, Ivatury, Rao, Biffl, Walter, Peitzman, Andrew, Coimbra, Raul, Rizoli, Sandro, Kluger, Yoram, Abu-Zidan, Fikri M, Sartelli, Massimo, De Moya, Marc, Velmahos, George, Fraga, Gustavo Pereira, Pereira, Bruno M, Leppaniemi, Ari, Boermeester, Marja A, Kirkpatrick, Andrew W, Maier, Ron, Bala, Miklosh, Sakakushev, Bori, Khokha, Vladimir, Malbrain, Manu, Agnoletti, Vanni, Martin-Loeches, Ignacio, Sugrue, Michael, Di Saverio, Salomone, Griffiths, Ewen, Soreide, Kjetil, Mazuski, John E, May, Addison K, Montravers, Philippe, Melotti, Rita Maria, Pisano, Michele, Salvetti, Francesco, Marchesi, Gianmariano, Valetti, Tino M, Scalea, Thoma, Chiara, Osvaldo, Kashuk, Jeffry L, Ansaloni, Luca, II kirurgian klinikka, University of Helsinki, Clinicum, Department of Surgery, HUS Abdominal Center, Coccolini, F, Montori, G, Ceresoli, M, Catena, F, Moore, E, Ivatury, R, Biffl, W, Peitzman, A, Coimbra, R, Rizoli, S, Kluger, Y, Abu-Zidan, F, Sartelli, M, Moya, M, Velmahos, G, Fraga, G, Pereira, B, Leppaniemi, A, Boermeester, M, Kirkpatrick, A, Maier, R, Bala, M, Sakakushev, B, Khokha, V, Malbrain, M, Agnoletti, V, Martin-Loeches, I, Sugrue, M, Saverio, S, Griffiths, E, Soreide, K, Mazuski, J, May, A, Montravers, P, Melotti, R, Pisano, M, Salvetti, F, Marchesi, G, Valetti, T, Scalea, T, Chiara, O, Kashuk, J, Ansaloni, L, Supporting clinical sciences, and Intensive Care
- Subjects
Fistula ,Abdominal Wound Closure Techniques ,Abdominal compartment syndrome ,Re-intervention ,medicine.medical_treatment ,TOPICAL NEGATIVE-PRESSURE ,Review ,030230 surgery ,VACUUM-ASSISTED CLOSURE ,0302 clinical medicine ,ACELLULAR DERMAL MATRIX ,Laparotomy ,Medicine ,Open abdomen ,Biological Closure ,Medicine(all) ,Trauma patient ,Peritoniti ,POSTOPERATIVE ENTEROCUTANEOUS FISTULAS ,lcsh:Medical emergencies. Critical care. Intensive care. First aid ,Consensus conference ,VENTRAL HERNIA REPAIR ,3. Good health ,medicine.anatomical_structure ,030220 oncology & carcinogenesis ,Emergency Medicine ,Technique ,Re-exploration ,ABDOMINAL COMPARTMENT SYNDROME ,CRITICALLY-ILL PATIENTS ,ACUTE MESENTERIC ISCHEMIA ,medicine.medical_specialty ,Consensus ,Closure ,Critical Illness ,PRIMARY FASCIAL CLOSURE ,lcsh:Surgery ,Non-trauma ,Peritonitis ,Biological ,Laparostomy ,Mesh ,Nutrition ,Pancreatitis ,Synthetic ,Timing ,Vascular emergencies ,Humans ,Lower Body Negative Pressure ,03 medical and health sciences ,Intensive care medicine ,DAMAGE-CONTROL LAPAROTOMY ,Pancreatiti ,business.industry ,lcsh:RD1-811 ,lcsh:RC86-88.9 ,3126 Surgery, anesthesiology, intensive care, radiology ,medicine.disease ,Abdomen ,Surgery ,business - Abstract
The open abdomen (OA) is defined as intentional decision to leave the fascial edges of the abdomen un-approximated after laparotomy (laparostomy). The abdominal contents are potentially exposed and therefore must be protected with a temporary coverage, which is referred to as temporal abdominal closure (TAC). OA use remains widely debated with many specific details deserving detailed assessment and clarification. To date, in patients with intra-abdominal emergencies, the OA has not been formally endorsed for routine utilization; although, utilization is seemingly increasing. Therefore, the World Society of Emergency Surgery (WSES), Abdominal Compartment Society (WSACS) and the Donegal Research Academy united a worldwide group of experts in an international consensus conference to review and thereafter propose the basis for evidence-directed utilization of OA management in non-trauma emergency surgery and critically ill patients. In addition to utilization recommendations, questions with insufficient evidence urgently requiring future study were identified.
- Published
- 2017
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