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dc.contributor.authorCoccolini, F.
dc.contributor.authorRoberts, D.
dc.contributor.authorAnsaloni, L.
dc.date.accessioned2019-06-21T18:46:34Z
dc.date.available2019-06-21T18:46:34Z
dc.date.issued2018
dc.identifier.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85041612658&doi=10.1186%2fs13017-018-0167-4&partnerID=40&md5=a12d4fd86795156440c4bbc0a4c6b8d4
dc.identifier.urihttp://hdl.handle.net/10713/9789
dc.description.abstractDamage control resuscitation may lead to postoperative intra-abdominal hypertension or abdominal compartment syndrome. These conditions may result in a vicious, self-perpetuating cycle leading to severe physiologic derangements and multiorgan failure unless interrupted by abdominal (surgical or other) decompression. Further, in some clinical situations, the abdomen cannot be closed due to the visceral edema, the inability to control the compelling source of infection or the necessity to re-explore (as a "planned second-look" laparotomy) or complete previously initiated damage control procedures or in cases of abdominal wall disruption. The open abdomen in trauma and non-trauma patients has been proposed to be effective in preventing or treating deranged physiology in patients with severe injuries or critical illness when no other perceived options exist. Its use, however, remains controversial as it is resource consuming and represents a non-anatomic situation with the potential for severe adverse effects. Its use, therefore, should only be considered in patients who would most benefit from it. Abdominal fascia-to-fascia closure should be done as soon as the patient can physiologically tolerate it. All precautions to minimize complications should be implemented. Copyright 2018 The Author(s).en_US
dc.description.urihttps://dx.doi.org/10.1186/s13017-018-0167-4en_US
dc.language.isoen-USen_US
dc.publisherBioMed Central Ltd.en_US
dc.relation.ispartofWorld Journal of Emergency Surgery
dc.subjectBiologicalen_US
dc.subjectClosureen_US
dc.subjectFistulaen_US
dc.subjectGuidelinesen_US
dc.subjectIntra-abdominal infectionen_US
dc.subjectLaparostomyen_US
dc.subjectMeshen_US
dc.subjectNon-traumaen_US
dc.subjectNutritionen_US
dc.subjectOpen abdomenen_US
dc.subjectPancreatitisen_US
dc.subjectPeritonitisen_US
dc.subjectRe-explorationen_US
dc.subjectReinterventionen_US
dc.subjectSyntheticen_US
dc.subjectTechniqueen_US
dc.subjectTimingen_US
dc.subjectTraumaen_US
dc.subjectVascular emergenciesen_US
dc.titleThe open abdomen in trauma and non-trauma patients: WSES guidelinesen_US
dc.typeArticleen_US
dc.identifier.doi10.1186/s13017-018-0167-4
dc.identifier.pmid29434652


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