Role of the Open Abdomen in Critically Ill Patients
| Autor: | Todd Neideen, Marshall Beckman, Jasmeet S. Paul, John A. Weigelt |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Damage control
medicine.medical_specialty Critical Care Abdominal compartment syndrome Critical Illness medicine.medical_treatment Abdominal Injuries 030230 surgery Critical Care and Intensive Care Medicine Sepsis 03 medical and health sciences Postoperative Complications 0302 clinical medicine Negative-pressure wound therapy Laparotomy medicine Humans Retroperitoneal hemorrhage business.industry General surgery Abdominal Wound Closure Techniques 030208 emergency & critical care medicine General Medicine medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Damage control surgery Abdomen Intra-Abdominal Hypertension business Negative-Pressure Wound Therapy |
| Zdroj: | Critical Care Clinics. 32:255-264 |
| ISSN: | 0749-0704 |
| DOI: | 10.1016/j.ccc.2015.12.003 |
| Popis: | An open abdomen is common used in critically ill patients to temporize permanent abdominal closure. The most common reason for leaving the abdomen open by reopening a laparotomy, not closing, or creating a fresh laparotomy is the abdominal compartment syndrome. The open abdomen technique is also used in damage control operations and intra-abdominal sepsis. Negative pressure wound therapy may be associated with better outcomes than other temporary abdominal closure techniques. The open abdomen is associated with many early and late complications, including infections, gastrointestinal fistulas, and ventral hernias. Clinicians should be vigilant regarding the development of these complications. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|