TY  - JOUR
A1  - Coccolini, Federico
A1  - Roberts, Derek
A1  - Ansaloni, Luca
A1  - Ivatury, Rao
A1  - Gamberini, Emiliano
A1  - Kluger, Yoram
A1  - Moore, Ernest E.
A1  - Coimbra, Raul
A1  - Kirkpatrick, Andrew Wallace
A1  - Pereira, Bruno M.
A1  - Montori, Giulia
A1  - Ceresoli, Marco
A1  - Abu-Zidan, Fikri M.
A1  - Sartelli, Massimo
A1  - Velmahos, George C.
A1  - Fraga, Gustavo Pereira
A1  - Leppaniemi, Ari
A1  - Tolonen, Matti
A1  - Galante, Joseph
A1  - Razek, Tarek
A1  - Maier, Ron
A1  - Bala, Miklosh
A1  - Sakakushev, Boris
A1  - Khokha, Vladimir
A1  - Malbrain, Manu
A1  - Agnoletti, Vanni
A1  - Peitzman, Andrew B.
A1  - Demetrashvili, Zaza
A1  - Sugrue, Michael
A1  - Di Saverio, Salomone
A1  - Martzi, Ingo
A1  - Soreide, Kjetil
A1  - Biffl, Walter
A1  - Ferrada, Paula
A1  - Parry, Neil
A1  - Montravers, Philippe
A1  - Melotti, Rita Maria
A1  - Salvetti, Francesco
A1  - Valetti, Tino M.
A1  - Scalea, Thomas
A1  - Chiara, Osvaldo
A1  - Cimbanassi, Stefania
A1  - Kashuk, Jeffry L.
A1  - Larrea, Martha
A1  - Martinez Hernandez, Juan Alberto
A1  - Lin, Heng-Fu
A1  - Chirica, Mircea
A1  - Arvieux, Catherine
A1  - Bing, Camilla
A1  - Horer, Tal
A1  - Simone, Belinda De
A1  - Masiakos, Peter T.
A1  - Reva, Viktor
A1  - De Angelis, Nicola
A1  - Kike, Kaoru
A1  - Balogh, Zsolt J.
A1  - Fugazzola, Paola
A1  - Tomasoni, Matteo
A1  - Latifi, Rifat
A1  - Naidoo, Noel
A1  - Weber, Dieter
A1  - Handolin, Lauri
A1  - Inaba, Kenji
A1  - Hecker, Andreas
A1  - Yuan, Kuo-Ching
A1  - Ordoñez, Carlos A.
A1  - Rizoli, Sandro
A1  - Gomes, Carlos Augusto
A1  - De Moya, Marc
A1  - Wani, Imtiaz
A1  - Mefire, Alain Chichom
A1  - Boffard, Ken
A1  - Napolitano, Lena
A1  - Catena, Fausto
T1  - The open abdomen in trauma and non-trauma patients : WSES guidelines
T2  - World journal of emergency surgery
N2  - Damage control resuscitation may lead to postoperative intra-abdominal hypertension or abdominal compartment syndrome. These conditions may result in a vicious, self-perpetuating cycle leading to severe physiologic derangements and multiorgan failure unless interrupted by abdominal (surgical or other) decompression. Further, in some clinical situations, the abdomen cannot be closed due to the visceral edema, the inability to control the compelling source of infection or the necessity to re-explore (as a “planned second-look” laparotomy) or complete previously initiated damage control procedures or in cases of abdominal wall disruption. The open abdomen in trauma and non-trauma patients has been proposed to be effective in preventing or treating deranged physiology in patients with severe injuries or critical illness when no other perceived options exist. Its use, however, remains controversial as it is resource consuming and represents a non-anatomic situation with the potential for severe adverse effects. Its use, therefore, should only be considered in patients who would most benefit from it. Abdominal fascia-to-fascia closure should be done as soon as the patient can physiologically tolerate it. All precautions to minimize complications should be implemented.
KW  - Open abdomen
KW  - Laparostomy
KW  - Non-trauma
KW  - Trauma
KW  - Peritonitis
KW  - Pancreatitis
KW  - Vascular emergencies
KW  - Intra-abdominal infection
KW  - Fistula
KW  - Nutrition
KW  - Re-exploration
KW  - Reintervention
KW  - Closure
KW  - Biological
KW  - Synthetic
KW  - Mesh
KW  - Technique
KW  - Timing
KW  - Guidelines
Y1  - 2018
UR  - http://publikationen.ub.uni-frankfurt.de/frontdoor/index/index/docId/45716
UR  - https://nbn-resolving.org/urn:nbn:de:hebis:30:3-457160
SN  - 1749-7922
N1  - © The Author(s). 2018 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
VL  - 13
IS  - Art. 7
SP  - 1
EP  - 16
PB  - BioMed Central
CY  - London
ER  -