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dc.contributor.authorCoccolini, Federico
dc.contributor.authorBiffl, Walter
dc.contributor.authorCatena, Fausto
dc.contributor.authorCeresoli, Marco
dc.contributor.authorChiara, Osvaldo
dc.contributor.authorCimbanassi, Stefania
dc.contributor.authorFattori, Luca
dc.contributor.authorLeppaniemi, Ari
dc.contributor.authorManfredi, Roberto
dc.contributor.authorMontori, Giulia
dc.contributor.authorPesenti, Giovanni
dc.contributor.authorSugrue, Michael
dc.contributor.authorAnsaloni, Luca
dc.date.accessioned2018-09-20T16:03:33Z
dc.date.available2018-09-20T16:03:33Z
dc.date.issued2015-07-25
dc.identifier.citationCoccolini, Federico; Biffl, Walter; Catena, Fausto; Ceresoli, Marco; Chiara, Osvaldo; Cimbanassi, Stefania; Fattori, Luca; Leppaniemi, Ari; Manfredi, Roberto; Montori, Giulia; Pesenti, Giovanni; Sugrue, Michael; Ansaloni, Luca (2015). The open abdomen, indications, management and definitive closure. World Journal of Emergency Surgery 10 ,
dc.identifier.issn1749-7922
dc.identifier.urihttp://hdl.handle.net/10379/10819
dc.description.abstractThe indications for Open Abdomen (OA) are generally all those situations in which is ongoing the development an intra-abdominal hypertension condition (IAH), in order to prevent the development of abdominal compartmental syndrome (ACS). In fact all those involved in care of a critically ill patient should in the first instance think how to prevent IAH and ACS. In case of ACS goal directed therapy to achieve early opening and early closure is the key: paradigm of closure shifts to combination of therapies including negative pressure wound therapy and dynamic closure, in order to reduce complications and avoid incisional hernia. There have been huge studies and progress in survival of critically ill trauma and septic surgical patients: this in part has been through the great work of pioneers, scientific societies and their guidelines; however future studies and continued innovation are needed to better understand optimal treatment strategies and to define more clearly the indications, because OA by itself is still a morbid procedure.
dc.publisherSpringer Nature
dc.relation.ispartofWorld Journal of Emergency Surgery
dc.rightsAttribution-NonCommercial-NoDerivs 3.0 Ireland
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/3.0/ie/
dc.subjectopen abdomen
dc.subjectperitonitis
dc.subjectpancreatitis
dc.subjecttrauma
dc.subjectmanagement
dc.subjectclosure
dc.subjectabdominal compartment syndrome
dc.subjectinfected pancreatic necrosis
dc.subjectnegative-pressure therapy
dc.subjectintraabdominal hypertension
dc.subjectsurgical-patients
dc.subjecttemporary closure
dc.subjectimproved outcomes
dc.subjectfascial closure
dc.subjectbiologic meshes
dc.subjectwound therapy
dc.titleThe open abdomen, indications, management and definitive closure
dc.typeArticle
dc.identifier.doi10.1186/s13017-015-0026-5
dc.local.publishedsourcehttps://wjes.biomedcentral.com/track/pdf/10.1186/s13017-015-0026-5
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Except where otherwise noted, this item's license is described as Attribution-NonCommercial-NoDerivs 3.0 Ireland