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dc.contributor.authorCoccolini, Federico
dc.contributor.authorBiffl, Walter
dc.contributor.authorCatena, Fausto
dc.contributor.authorCeresoli, Marco
dc.contributor.authorChiara, Osvaldo
dc.contributor.authorCimbanassi, Stefania
dc.contributor.authorFattori, Luca
dc.contributor.authorLeppaniemi, Ari
dc.contributor.authorManfredi, Roberto
dc.contributor.authorMontori, Giulia
dc.contributor.authorPesenti, Giovanni
dc.contributor.authorSugrue, Michael
dc.contributor.authorAnsaloni, Luca
dc.date.accessioned2015-08-17T13:42:37Zen
dc.date.available2015-08-17T13:42:37Zen
dc.date.issued2015-07-25en
dc.identifier.citationWorld Journal of Emergency Surgery. 2015 Jul 25;10(1):32en
dc.identifier.urihttp://dx.doi.org/10.1186/s13017-015-0026-5en
dc.identifier.urihttp://hdl.handle.net/10147/574738en
dc.description.abstractAbstract The indications for Open Abdomen (OA) are generally all those situations in which is ongoing the development an intra-abdominal hypertension condition (IAH), in order to prevent the development of abdominal compartmental syndrome (ACS). In fact all those involved in care of a critically ill patient should in the first instance think how to prevent IAH and ACS. In case of ACS goal directed therapy to achieve early opening and early closure is the key: paradigm of closure shifts to combination of therapies including negative pressure wound therapy and dynamic closure, in order to reduce complications and avoid incisional hernia. There have been huge studies and progress in survival of critically ill trauma and septic surgical patients: this in part has been through the great work of pioneers, scientific societies and their guidelines; however future studies and continued innovation are needed to better understand optimal treatment strategies and to define more clearly the indications, because OA by itself is still a morbid procedure.
dc.language.isoenen
dc.subjectSURGERYen
dc.titleThe open abdomen, indications, management and definitive closureen
dc.language.rfc3066enen
dc.rights.holderCoccolini et al.en
dc.date.updated2015-08-14T13:23:28Zen
refterms.dateFOA2018-08-27T04:20:53Z
html.description.abstractAbstract The indications for Open Abdomen (OA) are generally all those situations in which is ongoing the development an intra-abdominal hypertension condition (IAH), in order to prevent the development of abdominal compartmental syndrome (ACS). In fact all those involved in care of a critically ill patient should in the first instance think how to prevent IAH and ACS. In case of ACS goal directed therapy to achieve early opening and early closure is the key: paradigm of closure shifts to combination of therapies including negative pressure wound therapy and dynamic closure, in order to reduce complications and avoid incisional hernia. There have been huge studies and progress in survival of critically ill trauma and septic surgical patients: this in part has been through the great work of pioneers, scientific societies and their guidelines; however future studies and continued innovation are needed to better understand optimal treatment strategies and to define more clearly the indications, because OA by itself is still a morbid procedure.


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