239 results match your criteria Temporary Abdominal Closure Techniques


Open abdomen closure methods for severe abdominal sepsis: a retrospective cohort study.

Eur J Trauma Emerg Surg 2020 May 6. Epub 2020 May 6.

Department of General Surgery, San Giovanni Addolorata Hospital, Rome, Italy.

Purpose: The open abdomen (OA) procedure as part of damage control surgery represents a significant surgical advance in severe intra-abdominal infections. Major techniques used for OA are negative pressure wound therapy (NPWT) and non-NPWT. The aim of this retrospective study is to evaluate the effects of different abdominal closure methods and their outcomes in patients presenting with abdominal sepsis treated with OA. Read More

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http://dx.doi.org/10.1007/s00068-020-01379-0DOI Listing

Temporary Abdominal Closure Is Associated with Increased Risk for Fungal Intra-Abdominal Infections in Trauma Patients.

Surg Infect (Larchmt) 2020 Mar 18. Epub 2020 Mar 18.

Department of Surgery, Washington University in St. Louis, St. Louis, Missouri.

Fungal infections are associated with increased morbidity and death. Few studies have examined risk factors associated with post-operative fungal intra-abdominal infections (FIAIs) in trauma patients after exploratory laparotomy. In this study, we evaluated potential risk factors for acquiring post-operative FIAIs and their impact on clinical outcomes. Read More

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http://dx.doi.org/10.1089/sur.2019.286DOI Listing
March 2020
1.721 Impact Factor

Intraabdominal Lavage of Hypochlorous Acid: A New Paradigm for the Septic and Open Abdomen.

Wounds 2020 Jan 23. Epub 2020 Jan 23.

University of North Texas, Denton, TX.

Introduction: Management of the open abdomen (OA) has rapidly evolved over the last several decades due to the improved understanding of the underlying pathophysiology of patients with an OA, adoption of damage control surgery, and the use of temporary abdominal closure (TAC) techniques for this patient population. The TAC utilizing negative pressure has been successful for managing patients with an OA with improved time to closure. Recent studies have started to examine the use of TAC in conjunction with negative pressure wound therapy with instillation and dwell time (NPWTi-d) for the management of the OA. Read More

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January 2020

Immediate Closure of Abdominal Cavity with Biologic Mesh versus Temporary Abdominal Closure of Open Abdomen in Non-Trauma Emergency Patients (CLOSE-UP Study).

Surg Infect (Larchmt) 2020 Feb 25. Epub 2020 Feb 25.

Department of Surgery, Amsterdam University Medical Center, Amsterdam, the Netherlands.

In more than 10% of emergency laparotomies in non-trauma patients, primary fascial closure is not achievable because of excessive visceral edema, which leaves the patient with an open abdomen (OA). An OA harbors an inherent high risk of serious complications, and temporary closure devices are used to achieve delayed fascial closure. A potential new strategy in preventing OA is immediate closure during the emergency procedure with a non-crosslinked biologic mesh. Read More

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http://dx.doi.org/10.1089/sur.2019.289DOI Listing
February 2020

Challenge of uncontrolled enteroatmospheric fistulas.

Trauma Surg Acute Care Open 2019 31;4(1):e000381. Epub 2019 Dec 31.

Surgery, Kings County Hospital Center, Brooklyn, New York, USA.

Introduction: With the popularization of damage control surgery and the use of the open abdomen, a new permutation of fistula arose; the enteroatmospheric fistula (EAF), an opening of exposed intestine spilling uncontrollably into the peritoneal cavity. EAF is the most devastating complication of the open abdomen. We describe and analyze a single institution's experience in controlling high-output EAFs in patients with peritonitis. Read More

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http://dx.doi.org/10.1136/tsaco-2019-000381DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6996786PMC
December 2019

Clinical prospects for laparoscopic stoma closure of a temporary loop ileostomy: Initial experience and report.

Asian J Endosc Surg 2020 Feb 17. Epub 2020 Feb 17.

Department of Digestive Surgery, Breast and Thyroid Surgery, Graduate School of Medicine, Kagoshima University, Kagoshima, Japan.

Introduction: In closure of a stoma, the small working space and adhesions hinder a precise surgical procedure, compared with conventional approaches to digestive surgery. The aim of this prospective study was to introduce a new technique of laparoscopic stoma closure (LASC).

Materials And Surgical Techniques: After starting with three trocars, it is a priority to dissect around the arising ileum; a linear stapler is precisely inserted in both orifices of the loop stoma and applied two times, extracorporeally. Read More

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http://dx.doi.org/10.1111/ases.12790DOI Listing
February 2020

Dynamic closure techniques for treatment of an open abdomen: an update.

Hernia 2020 Apr 5;24(2):325-331. Epub 2020 Feb 5.

Department of General and HPB Surgery and Liver Transplantation, Ghent University Hospital, Corneel Heymanslaan 10, 9000, Ghent, Belgium.

Background: The open abdomen (OA) is an important approach for managing intra-abdominal catastrophes and continues to be the standard of care. Despite this, challenges remain as it is associated with a high incidence of complications and poor outcomes. The objective is to perform a systematic review on dynamic closure techniques for fascial closure during open abdomen management. Read More

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http://dx.doi.org/10.1007/s10029-020-02130-9DOI Listing

Intra-abdominal pressure may be elevated in patients with open abdomen after emergent laparotomy.

Langenbecks Arch Surg 2020 Feb 18;405(1):91-96. Epub 2020 Jan 18.

Department General Surgery B, Soroka University Medical Center, Ben-Gurion University of the Negev, POB 151, Be'er Sheva, Israel.

Purpose: To estimate the change in intra-abdominal pressure (IAP) among critically ill patient who were left with open abdomen and temporary abdominal closure after laparotomy, during the first 48 h after admission.

Methods: A cohort study in a single ICU in a tertiary care hospital. All adult patients admitted to the ICU after emergent laparotomy for acute abdomen or trauma, who were left with temporary abdominal closure (TAC), were included. Read More

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http://dx.doi.org/10.1007/s00423-020-01854-7DOI Listing
February 2020

Bogota Bag Temporary Abdominal Closure Surgical Technique in Children: A 15-Year Single Center Experience.

Isr Med Assoc J 2020 Jan;22(1):43-47

Pediatric Intensive Care Unit, Soroka University Medical Center, Beer Sheva, Israel.

Background: Temporary abdominal closure (TAC) surgical technique relates to a procedure in which the post-surgical abdominal wall remains open in certain indications. The Bogota bag (BB) technique is a tension-free TAC method that covers the abdominal contents with a sterilized fluid bag. There are very few reports of pediatric patients treated with this technique. Read More

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January 2020

Polycompartment syndrome - intra-abdominal pressure measurement.

Authors:
Zsolt Bodnar

Anaesthesiol Intensive Ther 2019 ;51(4):316-322

Department of Surgery, Letterkenny University Hospital, Letterkenny, Ireland.

Intra-abdominal hypertension and the abdominal compartment syndrome are well-known, serious, life-threatening clinical entities in acute care surgery. A common characteristic of these syndromes is the permanent and irreversible damage that may affect the organs which can be found inside the given compartment if quick intervention cannot be provided. All factors which may and can lead to a sudden increase in the intra-abdominal pressure can be found among the triggering factors of abdominal compartment syndrome. Read More

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https://www.termedia.pl/doi/10.5114/ait.2019.87474
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http://dx.doi.org/10.5114/ait.2019.87474DOI Listing
January 2019
8 Reads

Myths and realities in the management of the open abdomen with negative pressure systems. A case report and literature review.

Int J Surg Case Rep 2019 22;61:174-179. Epub 2019 Jul 22.

General surgery department, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Ciudad de México, Mexico.

Introduction: The open abdomen is a useful resource for treating patients with abdominal hypertension and abdominal compartment syndrome. Currently, early closure assisted with negative pressure devices is considered standard of treatment, and its use has demonstrated favorable outcomes and a decreased rate of complications.

Presentation Of A Case: We present a case of a 32-year-old male patient with diagnosis of non-seminomatous germinal testicular tumor (Stage IIIB (T3-N3-M1), which was summited to surgery, as a complication he presented massive bleeding, that culminated in acute compartment syndrome. Read More

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http://dx.doi.org/10.1016/j.ijscr.2019.07.047DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6677784PMC
July 2019
2 Reads

Open abdomen in acute mesenteric ischemia.

Anaesthesiol Intensive Ther 2019 ;51(2):159-162

Heart Center, Kuopio University Hospital, Kuopio, Finland.

In acute mesenteric ischemia, early diagnosis should optimally be followed by either open or endovascular intestinal revascularization. All too often, diagnosis is delayed and diagnosis and treatment are performed at the same time during explorative laparotomy. The majority of patients will be diagnosed when transmural intestinal infarction has developed and at this time point damage control strategies involving intestinal revascularization, bowel resection, open abdomen and second look may be necessary to salvage the patient. Read More

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http://dx.doi.org/10.5114/ait.2019.86280DOI Listing
May 2020
4 Reads

Outcomes of open abdomen versus primary closure following emergent laparotomy for suspected secondary peritonitis: A propensity-matched analysis.

J Trauma Acute Care Surg 2019 09;87(3):623-629

From the Division of Gastrointestinal and Minimally Invasive Surgery, Department of Surgery, Carolinas Medical Center, Charlotte, NC (A.M.K., L.N.C., M.B-G., T.P., B.T.H., B.R.D., K.R.K.).

Background: Optimal management following index laparotomy is poorly defined in secondary peritonitis patients. Although "open abdomen" (OA), or temporary abdominal closure with planned relaparotomy, is used to reassess bowel viability or severity of contamination, recent studies demonstrate comparable morbidity and mortality with primary abdominal closure (PC). This study evaluates differences between OA and PC following emergent laparotomy. Read More

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http://dx.doi.org/10.1097/TA.0000000000002345DOI Listing
September 2019
3 Reads

Effects of Early Altitude Exposure on the Open Abdomen After Laparotomy in Trauma.

Mil Med 2019 10;184(9-10):e460-e467

Department of Surgery, College of Medicine, University of Cincinnati, Section of General Surgery, OH.

Introduction: While damage control surgery and resuscitation techniques have revolutionized the care of injured service members who sustain severe traumatic hemorrhage, the physiologic and inflammatory consequences of hemostatic resuscitation and staged abdominal surgery in the face of early aeromedical evacuation (AE) have not been investigated. We hypothesized that post-injury AE with an open abdomen would have significant physiologic and inflammatory consequences compared to AE with a closed abdomen.

Materials And Methods: Evaluation of resuscitation and staged abdominal closure was performed using a murine model of hemorrhagic shock with laparotomy. Read More

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http://dx.doi.org/10.1093/milmed/usz034DOI Listing
October 2019
28 Reads

Blurring the boundary between open abdomen treatment and ventral hernia repair.

Langenbecks Arch Surg 2019 Jun 7;404(4):489-494. Epub 2019 Feb 7.

Department of Visceral and Transplant Surgery, University Hospital Zurich, Rämistrasse 100, CH-8091, Zürich, Switzerland.

Purpose: Therapeutic approaches for septic open abdomen treatment remain a major challenge with many uncertainties. The most convincing method is vacuum-assisted wound closure with mesh-mediated fascia traction with a protective plastic sheet placed on the viscera. As this plastic sheet and the mesh must be removed before final fascial closure, such a technique only allows temporary abdominal closure. Read More

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http://dx.doi.org/10.1007/s00423-019-01757-2DOI Listing
June 2019
2 Reads

Vacuum-Assisted Wound Closure and Permanent Onlay Mesh-Mediated Fascial Traction: A Novel Technique for the Prevention of Incisional Hernia after Open Abdomen Therapy Including Results From a Retrospective Case Series.

Scand J Surg 2019 Sep 21;108(3):216-226. Epub 2018 Dec 21.

1 Department of Clinical Sciences, Malmö, Faculty of Medicine, Lund University, Lund, Sweden.

Background And Aims: Incisional hernia development is a frequent long-term sequel after open abdomen treatment. This report describes a novel technique, the vacuum-assisted wound closure and permanent onlay mesh-mediated fascial traction for temporary and final closure of the open abdomen, with the intention to decrease incisional hernia rates. Primary aim was to evaluate incisional hernia development and secondary aims to describe short-term complications and patient-reported outcome. Read More

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http://dx.doi.org/10.1177/1457496918818979DOI Listing
September 2019
2 Reads

The impact of standardized protocol implementation for surgical damage control and temporary abdominal closure after emergent laparotomy.

J Trauma Acute Care Surg 2019 04;86(4):670-678

From the Department of Surgery (T.J.L., P.A.E., T.M.B., M.D.R., C.A.C., M.S.W., R.S.S., F.A.M., A.M.M., S.C.B.), University of Florida Health, Gainesville, Florida; and Sepsis and Critical Illness Research Center (T.J.L., P.A.E., M.D.R., F.A.M., A.M.M., S.C.B.), University of Florida Health, Gainesville, Florida.

Background: To standardize care and promote early fascial closure among patients undergoing emergent laparotomy and temporary abdominal closure (TAC), we developed a protocol addressing patient selection, operative technique, resuscitation strategies, and critical care provisions. We hypothesized that primary fascial closure rates would increase following protocol implementation with no difference in complication rates.

Study Design: We performed a retrospective cohort analysis of 138 adult trauma and emergency general surgery patients who underwent emergent laparotomy and TAC, comparing protocol patients (n = 60) to recent historic controls (n = 78) who would have met protocol inclusion criteria. Read More

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http://Insights.ovid.com/crossref?an=01586154-900000000-9845
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http://dx.doi.org/10.1097/TA.0000000000002170DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6433520PMC
April 2019
8 Reads

Outcomes of selective nonoperative management of civilian abdominal gunshot wounds: a systematic review and meta-analysis.

World J Emerg Surg 2018 27;13:55. Epub 2018 Nov 27.

Division of Vascular and Endovascular Surgery, Department of Surgery, University of Ottawa, The Ottawa Hospital, Civic Campus, Room A280, 1053 Carling Avenue, Ottawa, Ontario K1Y 4E9 Canada.

Background: Although mandatory laparotomy has been standard of care for patients with abdominal gunshot wounds (GSWs) for decades, this approach is associated with non-therapeutic operations, morbidity, and long hospital stays. This systematic review and meta-analysis sought to summarize outcomes of selective nonoperative management (SNOM) of civilian abdominal GSWs.

Methods: We searched electronic databases (March 1966-April 1, 2017) and reference lists of articles included in the systematic review for studies reporting outcomes of SNOM of civilian abdominal GSWs. Read More

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http://dx.doi.org/10.1186/s13017-018-0215-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260713PMC
February 2019
27 Reads
1.062 Impact Factor

Open abdomen and entero-atmospheric fistulae: An interim analysis from the International Register of Open Abdomen (IROA).

Injury 2019 Jan 24;50(1):160-166. Epub 2018 Sep 24.

Virginia Commonwealth University, Richmond, Virginia, USA.

Introduction: No definitive data describing associations between cases of Open Abdomen (OA) and Entero-atmospheric fistulae (EAF) exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) thus analyzed the International Register of Open Abdomen (IROA) to assess this question.

Material And Methods: A prospective analysis of adult patients enrolled in the IROA. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00201383183054
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http://dx.doi.org/10.1016/j.injury.2018.09.040DOI Listing
January 2019
60 Reads
2.140 Impact Factor

Improvised Laparostomy Pack to Manage Laparostomy for Injuries due to Improvised Explosive Devices (IEDs).

J Coll Physicians Surg Pak 2018 Oct;28(10):791-793

Department of Surgery, Combined Military Hospital (CMH), Quetta, Pakistan.

Splinters of improvised explosive devices [IEDs] cause multiple intestinal perforations and random pattern visceral injuries causing contamination of peritoneal cavity. This necessitates multiple peritoneal toilets and relook surgeries. Surgical management is to perform laparostomy to avoid life threatening complication, like abdominal compartment syndrome and fulminant sepsis. Read More

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http://dx.doi.org/3023DOI Listing
October 2018
7 Reads

"Complex abdominal wall" management: evidence-based guidelines of the Italian Consensus Conference.

Updates Surg 2019 Jun 25;71(2):255-272. Epub 2018 Sep 25.

Department of General Surgery, General Surgery Unit, New Sant'Agostino Hospital, Via Pietro Giardini, 1355, 41126, Modena, Italy.

To date, there is no shared consensus on a definition of a complex abdominal wall in elective surgery and in the emergency, on indications, technical details, complications, and follow-up. The purpose of the conference was to lay the foundations for a homogeneous approach to the complex abdominal wall with the primary intent being to attain the following objectives: (1) to develop evidence-based recommendations to define "complex abdominal wall"; (2) indications in emergency and in elective cases; (3) management of "complex abdominal wall"; (4) techniques for temporary abdominal closure. The decompressive laparostomy should be considered in a case of abdominal compartment syndrome in patients with critical conditions or after the failure of a medical treatment or less invasive methods. Read More

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http://dx.doi.org/10.1007/s13304-018-0577-6DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6647889PMC
June 2019
14 Reads

Impact of initial temporary abdominal closure in damage control surgery: a retrospective analysis.

World J Emerg Surg 2018 15;13:43. Epub 2018 Sep 15.

1Division of Acute Care Surgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, AL USA.

Background: Damage control surgery has revolutionized trauma surgery. Use of damage control surgery allows for resuscitation and reversal of coagulopathy at the risk of loss of abdominal domain and intra-abdominal complications. Temporary abdominal closure is possible with multiple techniques, the choice of which may affect ability to achieve primary fascial closure and further complication. Read More

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http://dx.doi.org/10.1186/s13017-018-0204-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6139137PMC
January 2019
28 Reads

Negative Pressure Wound Therapy of Open Abdomen and Definitive Closure Techniques After Decompressive Laparotomy: A Single-center Observational Prospective Study.

Wounds 2018 Aug 13. Epub 2018 Aug 13.

University of Medicine and Pharmacy of Tîrgu Mureș, Târgu Mureș, Romania.

Introduction: Open abdomen is a concept that was developed especially in relation to abdominal compartment syndrome (ACS).

Objective: This study presents the evolution and complications related to the management of the open abdomen after decompressive laparotomy, using a standardized method based on negative pressure wound therapy (NPWT).

Materials And Methods: This observational prospective study conducted over a 9-month period included 19 patients who underwent decompressive laparotomies for ACS. Read More

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August 2018
11 Reads

Trauma and emergency general surgery patients should be extubated with an open abdomen.

J Trauma Acute Care Surg 2018 12;85(6):1043-1047

From the The Rees-Jones Trauma Center at Parkland Hospital (L.R.T., J.B.I., H.B.C., T.D.M., R.T., A.T., A.T.C., F.M.A., C.T.M., A.L.E., M.W.C.); the Division of General and Acute Care Surgery, Department of Surgery, (L.R.T., J.B.I., H.B.C., T.D.M., R.T., A.T., A.T.C., F.M.A., C.T.M., A.L.E., M.W.C.), University of Texas Southwestern Medical Center; and Parkland Memorial Hospital (N.P.), Dallas, Texas.

Background: Open abdomen (OA) and temporary abdominal closure (TAC) are common techniques to manage several surgical problems in trauma and emergency general surgery (EGS). Patients with an OA are subjected to prolonged mechanical ventilation. This can lead to increased rates of ventilator-associated pneumonia (VAP). Read More

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http://dx.doi.org/10.1097/TA.0000000000002064DOI Listing
December 2018
14 Reads

Negative pressure temporary abdominal closure without continuous suction: a solution for damage control surgery in austere and far-forward settings.

J R Army Med Corps 2019 Jun 4;165(3):163-165. Epub 2018 Sep 4.

Department of Trauma Surgery, University of California Davis Medical Center, Sacramento, California, USA.

The use of topical negative pressure dressings in temporary abdominal closure has been readily adopted worldwide; however, a method of continuous suction is typically required to provide a seal. We describe a method of temporary abdominal closure using readily available materials in the forward surgical environment which does not require continuous suction after application. This method of temporary abdominal closure provides the benefits of negative pressure temporary abdominal closure after damage control surgery without the need for continuous suction or specialised equipment. Read More

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http://dx.doi.org/10.1136/jramc-2018-000998DOI Listing
June 2019
1 Read

A Current Review of Synthetic Meshes in Abdominal Wall Reconstruction.

Authors:
William S Cobb

Plast Reconstr Surg 2018 09;142(3 Suppl):64S-71S

Greenville, S.C. From the Division of Minimally Invasive Surgery, The Hernia Center, Department of Surgery, Greenville Health System.

The use of mesh materials for reinforcement of the abdominal wall has revolutionized the approaches to hernia repair. Whether it's a permanent, synthetic mesh, a biologically derived collagen graft, or a synthetic, bioresorbable construct, data demonstrate improved outcomes with respect to recurrence with their use. Numerous advances and development of component separation techniques of the abdominal wall musculature have provided surgeons the ability to close large fascial defects and reestablish the linea alba for midline hernias. Read More

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http://dx.doi.org/10.1097/PRS.0000000000004857DOI Listing
September 2018
2 Reads

Management of the Open Abdomen.

Semin Plast Surg 2018 Aug 24;32(3):127-132. Epub 2018 Jul 24.

Department of Plastic Surgery, University of Texas MD Anderson Cancer Center, Houston, Texas.

Management of the abdominal catastrophe requires a multidisciplinary approach. The plastic surgeon is a key member of the surgical team assisting in the creation of a durable, functional anatomic abdominal wall reconstruction. Plastic surgeons must be familiar with the concepts and pathophysiology related to the open abdomen, techniques for temporary abdominal closure, and when such techniques are appropriate to implement. Read More

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http://dx.doi.org/10.1055/s-0038-1666802DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6057780PMC
August 2018
6 Reads

Effects of temporary abdominal closure methods on mortality and morbidity in patients with open abdomen.

Ulus Travma Acil Cerrahi Derg 2018 Jul;24(4):321-326

Department of General Surgery, Mustafa Kemal University Faculty of Medicine, Hatay-Turkey.

Background: Open abdomen (OA) in which the abdomen is closed with temporary abdominal closure methods is the most effective in patients who develop severe abdominal sepsis or abdominal compartment syndrome. Major techniques used are Vacuum-Assisted Closure Method (VACM) and non-vacuum assisted closure method (NVACM). In the present study, the effects of different abdominal closure methods on morbidity and mortality were evaluated. Read More

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http://dx.doi.org/10.5505/tjtes.2017.95038DOI Listing
July 2018
6 Reads

Mesh-augmented versus direct abdominal closure in patients undergoing open abdomen treatment.

Hernia 2018 10 19;22(5):785-792. Epub 2018 Jul 19.

Department of Visceral Surgery and Medicine, University Hospital, Bern, Switzerland.

Background: Open abdomen (OA) may be required in patients with abdominal trauma, sepsis or compartment syndrome. Vacuum-assisted wound closure and mesh-mediated fascial traction (VAWCM) is a widely used approach for temporary abdominal closure to close the abdominal wall. However, this method is associated with a high incidence of re-operations in short term and late sequelae such as incisional hernia. Read More

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http://dx.doi.org/10.1007/s10029-018-1798-9DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6153946PMC
October 2018
4 Reads

Novel technique of temporary abdominal closure with continuous medial fascial traction dynamic for patients with open abdomen.

Hernia 2018 08 4;22(4):691-696. Epub 2018 May 4.

Pablo Tobon Uribe Hospital, Medellin-Antioquia, Colombia.

Open abdomen has been an effective treatment for abdominal catastrophes in trauma and general surgery, is one of the greatest advances in recent decades and has become a common procedure in both trauma and general surgery. Temporary abdominal closure techniques in managing open abdomen help to achieve many benefits without incurring many complications. We present a series of patients in which a temporary abdominal closure technique was used that generates continuous medial fascial traction dynamic in patients with open abdomen for different causes. Read More

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http://dx.doi.org/10.1007/s10029-018-1773-5DOI Listing
August 2018
4 Reads

Analysis for Patient Survival after Open Abdomen for Torso Trauma and the Impact of Achieving Primary Fascial Closure: A Single-Center Experience.

Sci Rep 2018 04 18;8(1):6213. Epub 2018 Apr 18.

Department of Emergency and Critical Care Medicine, Division of Acute Care Surgery and Trauma, Department of Surgery, Taipei Medical University Hospital, Taipei, Taiwan.

Open abdomen indicates the abdominal fascia is unclosed to abbreviate surgery and to reduce physiological stress. However, complications and difficulties in patient care are often encountered after operation. During May 2008 to March 2013, we performed a prospective protocol-directed observation study regarding open abdomen use in trauma patients. Read More

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http://dx.doi.org/10.1038/s41598-018-24482-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5906612PMC
April 2018
6 Reads

Outcome of open abdominal management following military trauma.

Br J Surg 2018 07 30;105(8):980-986. Epub 2018 Mar 30.

School of Biological Sciences, University of Manchester, Manchester, UK.

Background: Temporary abdominal closure (TAC) is increasingly common after military and civilian major trauma. Primary fascial closure cannot be achieved after TAC in 30 per cent of civilian patients; subsequent abdominal wall reconstruction carries significant morbidity. This retrospective review aimed to determine this morbidity in a UK military cohort. Read More

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http://dx.doi.org/10.1002/bjs.10813DOI Listing
July 2018
3 Reads

Early versus conventional stoma closure following bowel surgery: A randomized controlled trial.

Saudi J Gastroenterol 2018 Jan-Feb;24(1):52-58

Department of General Surgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puducherry, India.

Background/aim: To compare early stoma closure with conventional stoma closure following defunctioning diversion stoma surgery with respect to the frequency of complications, health-related quality of life (QoL), and length of hospitalization (LoH).

Patients And Methods: This study was designed as a prospective parallel-arm randomized controlled trial. Patients who underwent temporary stoma following bowel surgery between February 2014 and November 2015 were included. Read More

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http://www.saudijgastro.com/text.asp?2018/24/1/52/225392
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http://dx.doi.org/10.4103/sjg.SJG_445_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5848326PMC
November 2018
10 Reads

[Surgical Case of Ulcerative Colitis Accompanied with Rectal Cancer Combined with Transanal Minimally Invasive Surgery].

Gan To Kagaku Ryoho 2018 Jan;45(1):130-132

Dept. of Gastrointestinal and Pediatric Surgery, Tokyo Medical University Hospital.

A46 -year-old man developed ulcerative colitis at the age of 19 years. Although the colitis was medically treated, it relapsed and repeated over time. Periodic lower gastrointestinal endoscopy revealed lower rectal cancer, and he was referred to our department of surgery. Read More

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January 2018
9 Reads

Incidence and factors associated with development of heterotopic ossification after damage control laparotomy.

Injury 2018 Jan 26;49(1):51-55. Epub 2017 Nov 26.

Division of Trauma Surgery, McGill University Health Centre, Montreal, QC, Canada. Electronic address:

Introduction: The incidence of heterotopic ossification (HO) following damage control laparotomy (DCL) is unknown. Abdominal wall reconstruction may prove more challenging in patients with HO. This study examines the incidence and factors associated with HO in patients with an open abdomen following DCL. Read More

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http://dx.doi.org/10.1016/j.injury.2017.11.033DOI Listing
January 2018
10 Reads

Bogota Bag in Abdominal Compartment Syndrome at Kathmandu Model Hospital.

J Nepal Health Res Counc 2017 Sep 8;15(2):159-163. Epub 2017 Sep 8.

Department of Surgery, Kathmandu Model Hospital, Exhibition Road, Kathmandu, Nepal.

Background: The gold standard of quick and definitive treatment of Abdominal compartment syndrome (ACS) is surgical decompression by opening the abdomen and leaving it open until intra-abdominal pressure decreases. Temporary abdominal closure techniques are used to postpone definite closure until predisposing factors causing pathologic elevation of intra-abdominal pressure are resolved.This study aim to analyze feasibility of Bogota Bag placement as a way of temporary abdominal closure. Read More

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http://dx.doi.org/10.3126/jnhrc.v15i2.18206DOI Listing
September 2017
44 Reads

Open Abdomen in Trauma and Critical Care.

Crit Care Nurse 2017 Oct;37(5):22-45

Eleanor R. Fitzpatrick is a clinical nurse specialist for surgical critical care at the Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

The open abdomen technique and temporary abdominal closure after damage control surgery is fast becoming the standard of care for managing intra-abdominal bleeding and infectious or ischemic processes in critically ill patients. Expansion of this technique has evolved from damage control surgery in severely injured trauma patients to use in patients with abdominal compartment syndrome due to acute pancreatitis and other disorders. Subsequent therapies after use of the open abdomen technique and temporary abdominal closure are resuscitation in the intensive care unit and planned reoperation to manage the underlying cause of bleeding, infection, or ischemia. Read More

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http://dx.doi.org/10.4037/ccn2017294DOI Listing
October 2017
89 Reads

Characterization of hypoalbuminemia following temporary abdominal closure.

J Trauma Acute Care Surg 2017 10;83(4):650-656

From the Department of Surgery and Sepsis and Critical Illness Research Center, University of Florida Health, Gainesville, Florida.

Background: The purpose of this study was to characterize associations among serum proteins, negative-pressure wound therapy (NPWT) fluid loss, and primary fascial closure (PFC) following emergent laparotomy and temporary abdominal closure (TAC). We hypothesized that high levels of C-reactive protein (CRP) and NPWT output would be associated with hypoalbuminemia and failure to achieve PFC.

Methods: We performed a retrospective analysis of 233 patients managed with NPWT TAC. Read More

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http://dx.doi.org/10.1097/TA.0000000000001553DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5644021PMC
October 2017
14 Reads

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

World J Emerg Surg 2017 14;12:39. Epub 2017 Aug 14.

General, Emergency and Trauma Surgery dept., Papa Giovanni XXIII Hospital, Piazza OMS 1, 24127 Bergamo, Italy.

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. Read More

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http://wjes.biomedcentral.com/articles/10.1186/s13017-017-01
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http://dx.doi.org/10.1186/s13017-017-0146-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5557069PMC
September 2018
82 Reads

Negative Pressure Wound Therapy versus modified Barker Vacuum Pack as temporary abdominal closure technique for Open Abdomen management: a four-year experience.

BMC Surg 2017 Jul 21;17(1):86. Epub 2017 Jul 21.

Unit of General Surgery, Papa Giovanni XXIII Hospital, P.zza OMS 1, 24127, Bergamo, Italy.

Background: We reviewed our experience with patients presenting with trauma and peritonitis who underwent an open abdomen (OA) procedure, and compared outcomes between Negative Pressure Wound Therapy (NPWT) and a modified Barker Vacuum Pack (mBVP) technique.

Methods: In this descriptive study, we retrospectively analyzed data regarding all patients who underwent OA for intra-abdominal sepsis or abdominal trauma at our Centre from January 2012 to December 2015. Demographic data, co-morbidities, indications to surgery, intra-operative details and Björck classification grade were considered. Read More

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http://dx.doi.org/10.1186/s12893-017-0281-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5521106PMC
July 2017
53 Reads

Does Negative-Pressure Wound Therapy for the Open Abdomen Benefit the Patient? A Retrospective Cohort Study.

Adv Skin Wound Care 2017 Jun;30(6):256-261

Bojan Krebs, MD, PhD, and Tomaž Jagrič, MD, PhD, are General Surgeons, Department of Abdominal Surgery, University Clinical Centre Maribor, Slovenia. The authors have disclosed they have no financial relationships related to this article. Submitted June 17, 2015; accepted in revised form January 8, 2016.

Objective: Negative-pressure wound therapy (NPWT) is the most modern and sophisticated method of temporary abdominal closure. The aim of the study was to determine the significant predictors for mortality in patients with NPWT.

Setting: University Clinical Centre Maribor, Slovenia MATERIALS AND METHODS:: The authors performed a retrospective cohort study of all patients treated with NPWT between January 1, 2011, and December 31, 2014. Read More

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http://dx.doi.org/10.1097/01.ASW.0000516196.19330.6fDOI Listing
June 2017
33 Reads

[Damage control surgery in patients with abdominal sepsis].

Ugeskr Laeger 2017 May;179(19)

Damage control surgery (DCS) and resuscitation has improved the survival of trauma patients with decompensated physiology. In recent years, the principles of DCS have been used in the treatment of patients with abdominal sepsis, despite the fact that only a minimum of evidence exists. The aim is to optimize the physiology prior to definitive surgery. Read More

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May 2017
10 Reads

Vacuum-assisted wound closure and mesh-mediated fascial traction for open abdomen therapy - a systematic review.

Anaesthesiol Intensive Ther 2017 14;49(2):139-145. Epub 2017 May 14.

Department of Clinical Sciences Malmö, Vascular Centre, Lund University, Sweden.

Background: The aim of this paper was to review the literature on vacuum-assisted wound closure and mesh-mediated fascial traction (VAWCM) in open abdomen therapy. It was designed as systematic review of observational studies.

Methods: A Pub Med, EMBASE and Cochrane search from 2007/01-2016/07 was performed combining the Medical Subject Headings "vacuum", "mesh-mediated fascial traction", "temporary abdominal closure", "delayed abdominal closure", "open abdomen", "abdominal compartment syndrome", "negative pressure wound therapy" or "vacuum assisted wound closure". Read More

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http://dx.doi.org/10.5603/AIT.a2017.0023DOI Listing
March 2018
40 Reads

Emergent laparotomy and temporary abdominal closure for the cirrhotic patient.

J Surg Res 2017 04 11;210:108-114. Epub 2016 Nov 11.

Department of Surgery, Sepsis and Critical Illness Research Center, University of Florida Health, Gainesville, Florida. Electronic address:

Background: Temporary abdominal closure (TAC) may be performed for cirrhotic patients undergoing emergent laparotomy. The effects of cirrhosis on physiologic parameters, resuscitation requirements, and outcomes following TAC are unknown. We hypothesized that cirrhotic TAC patients would have different resuscitation requirements and worse outcomes than noncirrhotic patients. Read More

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http://dx.doi.org/10.1016/j.jss.2016.11.013DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5507175PMC
April 2017
52 Reads

Outcomes of bedside sutureless umbilical closure without endotracheal intubation for gastroschisis repair in surgical infants.

Am J Surg 2017 May 24;213(5):958-962. Epub 2017 Mar 24.

Division of Pediatric General and Thoracic Surgery, University of Washington, School of Medicine, Seattle Children's Hospital, Seattle, WA, USA. Electronic address:

Introduction: Newborns with gastroschisis have historically undergone surgical repair under general anesthesia. Our institution recently transitioned to the sutureless umbilical closure for gastroschisis. We sought to evaluate the feasibility of bedside gastroschisis repair without endotracheal intubation. Read More

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http://dx.doi.org/10.1016/j.amjsurg.2017.03.017DOI Listing
May 2017
23 Reads

Open abdomen with vacuum-assisted wound closure and mesh-mediated fascial traction in patients with complicated diffuse secondary peritonitis: A single-center 8-year experience.

J Trauma Acute Care Surg 2017 06;82(6):1100-1105

From the Department of Abdominal Surgery, Abdominal Center (M.T., P.M., V.S., S.R., A.L.), Helsinki University Hospital and University of Helsinki, Helsinki, Finland; Department of Transplantation and Liver Surgery, Abdominal Center (V.S.), Helsinki University Hospital and University of Helsinki, Helsinki, Finland; and Division of Intensive Care Medicine, Department of Anesthesiology, Intensive Care and Pain Medicine(M.B.), Helsinki University Hospital and University of Helsinki, Helsinki, Finland.

Background: Open abdomen (OA) treatment in patients with peritonitis is increasing worldwide. Various temporary abdominal closure devices are being used. This study included patients with complicated diffuse secondary peritonitis, OA, and vacuum-assisted wound closure and mesh-mediated fascial traction (VAWCM). Read More

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http://dx.doi.org/10.1097/TA.0000000000001452DOI Listing
June 2017
11 Reads

IROA: International Register of Open Abdomen, preliminary results.

World J Emerg Surg 2017 21;12:10. Epub 2017 Feb 21.

General, Emergency and Trauma Surgery Department, Papa Giovanni XXIII Hospital, Piazza OMS 1, 24127 Bergamo, Italy.

Background: No definitive data about open abdomen (OA) epidemiology and outcomes exist. The World Society of Emergency Surgery (WSES) and the Panamerican Trauma Society (PTS) promoted the International Register of Open Abdomen (IROA).

Methods: A prospective observational cohort study including patients with an OA treatment. Read More

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http://dx.doi.org/10.1186/s13017-017-0123-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5320725PMC
September 2018
76 Reads

Complications and Mortality Associated with Temporary Abdominal Closure Techniques: A Systematic Review and Meta-Analysis.

Am Surg 2017 Feb;83(2):191-216

Temporary abdominal closure (TAC) techniques are routinely used in the open abdomen. Ideally, they should prevent evisceration, aid in removal of unwanted fluid from the peritoneal cavity, facilitate in achieving safe definitive fascial closure, as well as prevent the development of intra-abdominal complications. TAC techniques used in the open abdomen were compared with negative pressure wound therapy (NPWT) to identify which was superior. Read More

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February 2017
22 Reads

Enteroatmospheric fistula management by endoscopic gastrostomy PEG tube.

Int Wound J 2017 Dec 15;14(6):915-917. Epub 2017 Feb 15.

Department of General Surgery, Oswaldo Cruz Hospital, Pernambuco University, Recife, Brazil.

Management of small-bowel fistulas which are in an open abdomen and have no soft tissue overlay or a fistula tract involves many complications and challenges. Controlling the local leakage of enteric contents has a central role in the success of medical treatment. There are several methods to deal with fistula discharge but unfortunately, the technical solutions only partially address such problems and a definitive management of fistula discharge still remains an insoluble challenge. Read More

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http://dx.doi.org/10.1111/iwj.12726DOI Listing
December 2017
17 Reads