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

2017; BioMed Central; Volume: 12; Issue: 1 Linguagem: Inglês

10.1186/s13017-017-0146-1

1749-7922

Federico Coccolini, Giulia Montori, Marco Ceresoli, Fausto Catena, Ernest E. Moore, Rao R. Ivatury, Walter Biffl, Andrew B. Peitzman, Raúl Coimbra, Sandro Rizoli, Yoram Kluger, Fikri M. Abu‐Zidan, Massimo Sartelli, Marc de Moya, George C. Velmahos, Gustavo Pereira Fraga, Bruno M. Pereira, Ari Leppäniemi, Marja A. Boermeester, Andrew W. Kirkpatrick, Ron Maier, Miklosh Bala, Boris Sakakushev, Vladimir Khokha, Manu L. N. G. Malbrain, Vanni Agnoletti, Ignacio Martín‐Loeches, Michael Sugrue, Salomone Di Saverio, Ewen A. Griffiths, Kjetil Søreide, John E. Mazuski, Addison K. May, Philippe Montravers, Rita Maria Melotti, Michele Pisano, Francesco Salvetti, Gianmariano Marchesi, Tino Martino Valetti, Thomas M. Scalea, Osvaldo Chiara, Jeffry L. Kashuk, Luca Ansaloni,

Hernia repair and management

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.