The role of the open abdomen procedure in managing severe abdominal sepsis: WSES position paper
Abu-Zidan, F. M.
Beltran, M. A.
Biffl, W. L.
Diaz, J. J.
Di Saverio, S.
Fraga, G. P.
Griffiths, E. A.
Kong, V. Y.
Lee, J. G.
Moore, F. A.
Ordonez, C. A.
Pereira, G. A.
Shelat, V. G.
Zachariah, S. K.
Zielinski, M. D.
Garcia, M. P.
Moore, E. E.
AffiliationDepartment of Surgery, Macerata Hospital
Department of Surgery, College of Medicine and Health Sciences, UAE University
General Surgery I, Papa Giovanni XXIII Hospital
Trauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Center
Department of Surgery, Hospital San Juan de Dios
Department of Surgery, University of Colorado, Denver Health Medical Center
Emergency Surgery Department, Maggiore Parma Hospital
Emergency Department, Niguarda Ca' Hospital
Division of Trauma, Surgical Critical Care, Burns, and Acute Care Surgery, University of California Sand Diego Health Science
Department of Surgery, Tbilisi State Medical University, Kipshidze Central University Hospital
Trauma, Emergency Surgery, Surgical Critical Care, University of Southern California
Shock Trauma Center, University of Maryland School of Medicine
Trauma Surgery Unit, Maggiore Hospital
Division of Trauma Surgery, Hospital de Clinicas, School of Medical Sciences, University of Campinas
Department of Surgery Mansoura, Falculty of Medicine, Mansoura University
Department of Surgery, Queen Elizabeth Hospital
Department f Surgery Government Medical College and Hospital
Department of General and Thoracic Surgery, University Hospital of Giessen
Clinic for Emergency Surgery, Faculty of Medicine, University of Belgrade
Department of Surgery, Edendale Hospital
Department of Visceral, Thorax and Transplant Surgery, University of Innsbruck
Department of General Surgery, Rambam Health Care Campus
Department of Surgery, Trauma Research Institute, University of Arizona
Abdominal Center, University Hospital Meilahti
Department of Surgery, Yonsei University College of Medicine
Department of Surgery, University Hospital of the West Indies
Department of Surgery, Post-Graduate Institute of Medical Sciences
Department of Surgery, University of Florida
Department of Surgery, Fundación Valle del Lili, Hospital Universitario del Valle, Universidad del Valle
Division of Emergency and Trauma Surgery, Ribeirão Preto Medical School
Department of General and Emergency Surgery, Riga East Clinical University Hospital "Gailezers"
Department of Surgery, Tan Tock Seng Hospital
1st Surgical Department of First Faculty of Medicine, General University Hospital, Prague Charles University
Department of Surgery, MOSC Medical College Kolenchery
Department of Surgery, Mayo Clinic
Centro de investigaciones clínicas, Fundación Valle del Lili
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CitationSartelli et al. World Journal of Emergency Surgery (2015) 10:35 DOI 10.1186/s13017-015-0032-7
Rights© 2015 Sartelli et al. 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/)
Collection InformationThis item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at firstname.lastname@example.org.
AbstractThe open abdomen (OA) procedure is a significant surgical advance, as part of damage control techniques in severe abdominal trauma. Its application can be adapted to the advantage of patients with severe abdominal sepsis, however its precise role in these patients is still not clear. In severe abdominal sepsis the OA may allow early identification and draining of any residual infection, control any persistent source of infection, and remove more effectively infected or cytokine-loaded peritoneal fluid, preventing abdominal compartment syndrome and deferring definitive intervention and anastomosis until the patient is appropriately resuscitated and hemodynamically stable and thus better able to heal. However, the OA may require multiple returns to the operating room and may be associated with significant complications, including enteroatmospheric fistulas, loss of abdominal wall domain and large hernias. Surgeons should be aware of the pathophysiology of severe intra-abdominal sepsis and always keep in mind the option of using open abdomen to be able to use it in the right patient at the right time.
PubMed Central IDPMC4534034
VersionFinal published version