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Review
. 2017 Aug 14:12:39.
doi: 10.1186/s13017-017-0146-1. eCollection 2017.

The role of open abdomen in non-trauma patient: WSES Consensus Paper

Federico Coccolini  1 , Giulia Montori  1 , Marco Ceresoli  1 , Fausto Catena  2 , Ernest E Moore  3 , Rao Ivatury  4 , Walter Biffl  5 , Andrew Peitzman  6 , Raul Coimbra  7 , Sandro Rizoli  8 , Yoram Kluger  9 , Fikri M Abu-Zidan  10 , Massimo Sartelli  11 , Marc De Moya  12 , George Velmahos  12 , Gustavo Pereira Fraga  13 , Bruno M Pereira  13 , Ari Leppaniemi  14 , Marja A Boermeester  15 , Andrew W Kirkpatrick  16 , Ron Maier  17 , Miklosh Bala  18 , Boris Sakakushev  19 , Vladimir Khokha  20 , Manu Malbrain  21 , Vanni Agnoletti  22 , Ignacio Martin-Loeches  23 , Michael Sugrue  24 , Salomone Di Saverio  25 , Ewen Griffiths  26 , Kjetil Soreide  27   28 , John E Mazuski  29 , Addison K May  30 , Philippe Montravers  31 , Rita Maria Melotti  32 , Michele Pisano  1 , Francesco Salvetti  1 , Gianmariano Marchesi  33 , Tino M Valetti  33 , Thomas Scalea  34 , Osvaldo Chiara  35 , Jeffry L Kashuk  36 , Luca Ansaloni  1
Affiliations
Review

The role of open abdomen in non-trauma patient: WSES Consensus Paper

Federico Coccolini et al. World J Emerg Surg. .

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.

Keywords: Biological; Closure; Fistula; Laparostomy; Mesh; Non-trauma; Nutrition; Open abdomen; Pancreatitis; Peritonitis; Re-exploration; Re-intervention; Synthetic; Technique; Timing; Vascular emergencies.

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Conflict of interest statement

Ethics approval and consent to participate

Not applicable

Consent for publication

Not applicable

Competing interest

Manu LNG Malbrain is Founding President and current Treasurer of the Abdominal Compartment Society (WSACS, www.wsacs.org). He is also a member of the executive committee of the International Fluid Academy (IFA). The IFA is integrated within the not-for-profit charitable organization iMERiT (International Medical Education and Research Initiative) under Belgian Law. The IFA website (http://www.fluidacademy.org) is now an official SMACC (Social Media and Critical Care) affiliated site, and its content is based on the philosophy of FOAM (Free Open Access Medical Education—#FOAMed). He is a member of the medical advisory board of Pulsion Medical Systems (Maquet Getinge group) and consults for Acelity, ConvaTec, Spiegelberg and Holtech Medical.

Andrew Kirkpatrick has consulted for the Innovative Trauma Corporative, Acelity Corp., and Cook Medical Corp. The authors declare that they have no competing interests.

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Figures

Fig. 1
Fig. 1
Open Abdomen classification according to Bjork et al. [168]
See this image and copyright information in PMC

References

    1. Bailey J, Shapiro MJ. Abdominal compartment syndrome. Crit Care. 2000;4:23–29. doi: 10.1186/cc646. - DOI - PMC - PubMed
    1. Sartelli M, Abu-Zidan FM, Ansaloni L, Bala M, Beltrán MA, Biffl WL, et al. The role of the open abdomen procedure in managing severe abdominal sepsis: WSES position paper. World J Emerg Surg. 2015;10:35. doi: 10.1186/s13017-015-0032-7. - DOI - PMC - PubMed
    1. Van Hee R. Historical highlights in concept and treatment of abdominal compartment syndrome. Acta Clin Belg. 2007;62:9–15. doi: 10.1179/acb.2007.62.s1.003. - DOI - PubMed
    1. Demetriades D. Total management of the open abdomen. Int Wound J. 2012;9:17–24. doi: 10.1111/j.1742-481X.2012.01018.x. - DOI - PMC - PubMed
    1. Kirkpatrick AW, Roberts DJ, De Waele J, Jaeschke R, Malbrain MLNG, De Keulenaer B, et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med. 2013;39:1190–1206. doi: 10.1007/s00134-013-2906-z. - DOI - PMC - PubMed

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