Possible devices to temporary cover the open abdomen: pros and cons

Abstract

In the last 25 years increased popularity of damage control surgery and recognition of abdominal compartment syndrome has lead to a raised incidence of open abdomens. Even though these procedures are often life-saving, morbidity and mortality associated with an open abdomen remains high. Third spacing after aggressive fluid resuscitation, fascial retraction, ventilatory problems and fistula formations are problems often associated with an open abdomen. Management of an open abdomen is often complicated and challenging. The viscera need to be protected and the abdomen needs coverage. Several techniques have been described for both temporary and definitive closure. This article will discuss the pros and cons of several available temporary devices to cover the abdomen and literature will be reviewed.