World Journal of Emergency Surgery (Aug 2017)
The role of open abdomen in non-trauma patient: WSES Consensus Paper
- Federico Coccolini,
- Giulia Montori,
- Marco Ceresoli,
- Fausto Catena,
- Ernest E. Moore,
- Rao Ivatury,
- Walter Biffl,
- Andrew Peitzman,
- Raul Coimbra,
- Sandro Rizoli,
- Yoram Kluger,
- Fikri M. Abu-Zidan,
- Massimo Sartelli,
- Marc De Moya,
- George Velmahos,
- Gustavo Pereira Fraga,
- Bruno M. Pereira,
- Ari Leppaniemi,
- Marja A. Boermeester,
- Andrew W. Kirkpatrick,
- Ron Maier,
- Miklosh Bala,
- Boris Sakakushev,
- Vladimir Khokha,
- Manu Malbrain,
- Vanni Agnoletti,
- Ignacio Martin-Loeches,
- Michael Sugrue,
- Salomone Di Saverio,
- Ewen Griffiths,
- Kjetil Soreide,
- John E. Mazuski,
- Addison K. May,
- Philippe Montravers,
- Rita Maria Melotti,
- Michele Pisano,
- Francesco Salvetti,
- Gianmariano Marchesi,
- Tino M. Valetti,
- Thomas Scalea,
- Osvaldo Chiara,
- Jeffry L. Kashuk,
- Luca Ansaloni
Affiliations
- Federico Coccolini
- General, Emergency and Trauma Surgery dept., Papa Giovanni XXIII Hospital
- Giulia Montori
- General, Emergency and Trauma Surgery dept., Papa Giovanni XXIII Hospital
- Marco Ceresoli
- General, Emergency and Trauma Surgery dept., Papa Giovanni XXIII Hospital
- Fausto Catena
- Emergency and Trauma Surgery, Parma Maggiore hospital
- Ernest E. Moore
- Denver Health
- Rao Ivatury
- Trauma Surgery, Virginia Commonwealth University
- Walter Biffl
- Acute Care Surgery, The Queen’s Medical Center
- Andrew Peitzman
- Department of Surgery, Trauma and Surgical Services, University of Pittsburgh School of Medicine
- Raul Coimbra
- Department of Surgery, UC San Diego Health System
- Sandro Rizoli
- Trauma & Acute Care Service, St Michael’s Hospital
- Yoram Kluger
- Division of General Surgery Rambam Health Care Campus
- Fikri M. Abu-Zidan
- Department of Surgery, College of Medicine and Health Sciences, UAE University
- Massimo Sartelli
- Department of Surgery, Macerata Hospital
- Marc De Moya
- Department of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital
- George Velmahos
- Department of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital
- Gustavo Pereira Fraga
- Faculdade de Ciências Médicas (FCM) – Unicamp Campinas
- Bruno M. Pereira
- Faculdade de Ciências Médicas (FCM) – Unicamp Campinas
- Ari Leppaniemi
- Second Department of Surgery, Meilahti Hospital
- Marja A. Boermeester
- Academic Medical Center Amsterdam
- Andrew W. Kirkpatrick
- Department of Surgery, Foothills Medical Centre
- Ron Maier
- Department of Surgery, Harborview Medical Centre
- Miklosh Bala
- General Surgery Department, Hadassah Medical Centre
- Boris Sakakushev
- First Clinic of General Surgery, University Hospital/UMBAL/St George Plovdiv
- Vladimir Khokha
- General Surgery, Mozir Hospital
- Manu Malbrain
- ICU and High Care Burn Unit, Ziekenhius Netwerk Antwerpen
- Vanni Agnoletti
- ICU Department, Bufalini Hospital
- Ignacio Martin-Loeches
- Critical Care Centre, Corporasiò Sanitaria Park Tauli
- Michael Sugrue
- General Surgery Department, Letterkenny Hospital
- Salomone Di Saverio
- General and Trauma Surgery Department, Maggiore Hospital
- Ewen Griffiths
- Upper Gatrointestinal Surgery, Birmigham Hospital
- Kjetil Soreide
- Department of Gastrointestinal Surgery, Stavanger University Hospital
- John E. Mazuski
- Department of Surgery, School of Medicine, Washington University
- Addison K. May
- Departments of Surgery and Anesthesiology, Division of Trauma and Surgical Critical Care, Vanderbilt University Medical Center
- Philippe Montravers
- Département d’Anesthésie-Réanimation, CHU Bichat Claude-Bernard-HUPNVS, Assistance Publique-Hôpitaux de Paris, University Denis Diderot
- Rita Maria Melotti
- ICU department Sant’Orsola-Malpighi University Hospital
- Michele Pisano
- General, Emergency and Trauma Surgery dept., Papa Giovanni XXIII Hospital
- Francesco Salvetti
- General, Emergency and Trauma Surgery dept., Papa Giovanni XXIII Hospital
- Gianmariano Marchesi
- ICU Department, Papa Giovanni XXIII Hospital
- Tino M. Valetti
- ICU Department, Papa Giovanni XXIII Hospital
- Thomas Scalea
- Trauma Surgery department, University of Maryland School of Medicine
- Osvaldo Chiara
- Emergency and Trauma Surgery department, Niguarda Hospital
- Jeffry L. Kashuk
- General Surgery department, Assuta Medical Centers
- Luca Ansaloni
- General, Emergency and Trauma Surgery dept., Papa Giovanni XXIII Hospital
- DOI
- https://doi.org/10.1186/s13017-017-0146-1
- Journal volume & issue
-
Vol. 12,
no. 1
pp. 1 – 17
Abstract
Abstract 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.
Keywords
