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    How to deal with an open abdomen?

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    Name:
    De Waele et al 2015 How to deal ...
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    Authors
    De Waele, Jan J
    Kaplan, Mark
    Sugrue, Michael
    Sibaja, Pablo
    Björck, Martin
    Issue Date
    2015
    MeSH
    Abdomen
    Abdominal Cavity
    Humans
    Intra-Abdominal Hypertension
    Laparotomy
    Lower Body Negative Pressure
    
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    Citation
    How to deal with an open abdomen? 2015, 47 (4):372-8 Anaesthesiol Intensive Ther
    Publisher
    Anaesthesiology intensive therapy
    Journal
    Anaesthesiology intensive therapy
    URI
    http://hdl.handle.net/10147/621005
    DOI
    10.5603/AIT.a2015.0023
    PubMed ID
    25973658
    Abstract
    Appropriate open abdomen treatment is one of the key elements in the management of patients who require decompressive laparotomy or in whom the abdomen is left open prophylactically. Apart from fluid control and protection from external injury, fluid evacuation and facilitation of early closure are now the goals of open abdomen treatment. Abdominal negative pressure therapy has emerged as the most appropriate method to reach these goals. Especially when combined with strategies that allow progressive approximation of the fascial edges, high closure rates can be obtained. Intra-abdominal pressure measurement can be used to guide the surgical strategy and continued attention to intra-abdominal hypertension is necessary. This paper reviews recent advances as well as identifying the remaining challenges in patients requiring open abdomen treatment. The new classification system of the open abdomen is an important tool to use when comparing the efficacy of different strategies, as well as different systems of temporary abdominal closure.
    Item Type
    Article
    Language
    en
    ISSN
    1731-2515
    ae974a485f413a2113503eed53cd6c53
    10.5603/AIT.a2015.0023
    Scopus Count
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    Letterkenny University Hospital

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