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OPEN ABDOMEN, WHAT IS NEW IN ITS SURGICAL MANAGEMENT?

Ghassan AA Nasir

Basrah Journal of Surgery مجلة البصرة الجراحية
ISSN: 16833589 Year: 2009 Volume: 15 Issue: 2 Pages: 16-19
Publisher: Basrah University جامعة البصرة

Abstract

Open abdomen is a concept that the abdomen is left open after laparotomy especially when itwas done as emergency for traumatic abdomen or reopens the abdomen when signs ofincrease intra-abdominal pressure (IAP) causing abdominal compartment syndrome (ACS).This open abdomen must be covered temporarily till the signs of abdominal compartmentsyndrome (ACS) disappears and intra-abdominal pressure (IAP) returns normal, then reclosethe abdomen by one of definitive procedure.It was found that Vacuum-assisted wound closure (VAWC) is the best temporary procedure toclose the abdomen to get early or late fascial closure as the best definitive closure of openabdomen.Also It was found that the classification of open abdomen is so helpful in choosing theprocedure for temporary and definitive closure, this classification is new thing and dependable.

Keywords

ABDOMEN --- SURGICAL