The role of the open abdomen procedure in managing severe abdominal sepsis : WSES position paper

dc.contributor.authorSartelli, Massimo
dc.contributor.authorAbu-Zidan, Fikri M.
dc.contributor.authorAnsaloni, Luca
dc.contributor.authorBala, Miklosh
dc.contributor.authorBeltrán, Marcelo A.
dc.contributor.authorBiffl, Walter L.
dc.contributor.authorCatena, Fausto
dc.contributor.authorChiara, Osvaldo
dc.contributor.authorCoccolini, Federico
dc.contributor.authorCoimbra, Raul
dc.contributor.authorDemetrashvili, Zaza
dc.contributor.authorDemetriades, Demetrios
dc.contributor.authorDiaz, Jose J.
dc.contributor.authorDi Saverio, Salomone
dc.contributor.authorFraga, Gustavo P.
dc.contributor.authorGhnnam, Wagih
dc.contributor.authorGriffiths, Ewen A.
dc.contributor.authorGupta, Sanjay
dc.contributor.authorHecker, Andreas
dc.contributor.authorKaramarkovic, Aleksandar
dc.contributor.authorKong, Victor Y.
dc.contributor.authorKafka-Ritsch, Reinhold
dc.contributor.authorKluger, Yoram
dc.contributor.authorLatifi, Rifat
dc.contributor.authorLeppaniemi, Ari
dc.contributor.authorLee, Jae Gil
dc.contributor.authorMcFarlane, Michael
dc.contributor.authorMarwah, Sanjay
dc.contributor.authorMoore, Frederick A.
dc.contributor.authorOrdonez, Carlos A.
dc.contributor.authorPereira, Gerson Alves
dc.contributor.authorPlaudis, Haralds
dc.contributor.authorShelat, Vishal G.
dc.contributor.authorUlrych, Jan
dc.contributor.authorZachariah, Sanoop K.
dc.contributor.authorZielinski, Martin D.
dc.contributor.authorGarcia, Maria Paula
dc.contributor.authorMoore, Ernest E.
dc.date.accessioned2021-08-02T07:10:01Z
dc.date.available2021-08-02T07:10:01Z
dc.date.issued2015-08-12
dc.descriptionPublisher Copyright: © 2015 Sartelli et al.
dc.description.abstractThe open abdomen (OA) procedure is a significant surgical advance, as part of damage control techniques in severe abdominal trauma. Its application can be adapted to the advantage of patients with severe abdominal sepsis, however its precise role in these patients is still not clear. In severe abdominal sepsis the OA may allow early identification and draining of any residual infection, control any persistent source of infection, and remove more effectively infected or cytokine-loaded peritoneal fluid, preventing abdominal compartment syndrome and deferring definitive intervention and anastomosis until the patient is appropriately resuscitated and hemodynamically stable and thus better able to heal. However, the OA may require multiple returns to the operating room and may be associated with significant complications, including enteroatmospheric fistulas, loss of abdominal wall domain and large hernias. Surgeons should be aware of the pathophysiology of severe intra-abdominal sepsis and always keep in mind the option of using open abdomen to be able to use it in the right patient at the right time.en
dc.description.statusPeer reviewed
dc.format.extent11
dc.format.extent800456
dc.identifier.citationSartelli, M, Abu-Zidan, F M, Ansaloni, L, Bala, M, Beltrán, M A, Biffl, W L, Catena, F, Chiara, O, Coccolini, F, Coimbra, R, Demetrashvili, Z, Demetriades, D, Diaz, J J, Di Saverio, S, Fraga, G P, Ghnnam, W, Griffiths, E A, Gupta, S, Hecker, A, Karamarkovic, A, Kong, V Y, Kafka-Ritsch, R, Kluger, Y, Latifi, R, Leppaniemi, A, Lee, J G, McFarlane, M, Marwah, S, Moore, F A, Ordonez, C A, Pereira, G A, Plaudis, H, Shelat, V G, Ulrych, J, Zachariah, S K, Zielinski, M D, Garcia, M P & Moore, E E 2015, 'The role of the open abdomen procedure in managing severe abdominal sepsis : WSES position paper', World Journal of Emergency Surgery, vol. 10, no. 1, 35. https://doi.org/10.1186/s13017-015-0032-7
dc.identifier.doi10.1186/s13017-015-0032-7
dc.identifier.issn1749-7922
dc.identifier.urihttps://dspace.rsu.lv/jspui/handle/123456789/5909
dc.identifier.urlhttp://www.scopus.com/inward/record.url?scp=84938833221&partnerID=8YFLogxK
dc.language.isoeng
dc.relation.ispartofWorld Journal of Emergency Surgery
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subject3.2 Clinical medicine
dc.subject1.1. Scientific article indexed in Web of Science and/or Scopus database
dc.subjectSurgery
dc.subjectEmergency Medicine
dc.titleThe role of the open abdomen procedure in managing severe abdominal sepsis : WSES position paperen
dc.type/dk/atira/pure/researchoutput/researchoutputtypes/contributiontojournal/systematicreview

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