The role of open abdomen in non-trauma patient: WSES Consensus Paper

被引：0

作者：

Federico Coccolini

Giulia Montori

Marco Ceresoli

Fausto Catena

Ernest E. Moore

Rao Ivatury

Walter Biffl

Andrew Peitzman

Raul Coimbra

Sandro Rizoli

Yoram Kluger

Fikri M. Abu-Zidan

Massimo Sartelli

Marc De Moya

George Velmahos

Gustavo Pereira Fraga

Bruno M. Pereira

Ari Leppaniemi

Marja A. Boermeester

Andrew W. Kirkpatrick

Ron Maier

Miklosh Bala

Boris Sakakushev

Vladimir Khokha

Manu Malbrain

Vanni Agnoletti

Ignacio Martin-Loeches

Michael Sugrue

Salomone Di Saverio

Ewen Griffiths

Kjetil Soreide

John E. Mazuski

Addison K. May

Philippe Montravers

Rita Maria Melotti

Michele Pisano

Francesco Salvetti

Gianmariano Marchesi

Tino M. Valetti

Thomas Scalea

Osvaldo Chiara

Jeffry L. Kashuk

Luca Ansaloni

机构：

[1] Papa Giovanni XXIII Hospital,General, Emergency and Trauma Surgery dept.

[2] Parma Maggiore hospital,Emergency and Trauma Surgery

[3] Denver Health,Trauma Surgery

[4] Virginia Commonwealth University,Acute Care Surgery

[5] The Queen’s Medical Center,Department of Surgery, Trauma and Surgical Services

[6] University of Pittsburgh School of Medicine,Department of Surgery

[7] UC San Diego Health System,Trauma & Acute Care Service

[8] St Michael’s Hospital,Department of Surgery, College of Medicine and Health Sciences

[9] Division of General Surgery Rambam Health Care Campus,Department of Surgery

[10] UAE University,Department of Trauma, Emergency Surgery and Surgical Critical Care

[11] Macerata Hospital,Second Department of Surgery

[12] Massachusetts General Hospital,Department of Surgery

[13] Faculdade de Ciências Médicas (FCM) – Unicamp Campinas,Department of Surgery

[14] Meilahti Hospital,General Surgery Department

[15] Academic Medical Center Amsterdam,First Clinic of General Surgery

[16] Foothills Medical Centre,General Surgery

[17] Harborview Medical Centre,ICU and High Care Burn Unit

[18] Hadassah Medical Centre,ICU Department

[19] University Hospital/UMBAL/St George Plovdiv,Critical Care Centre

[20] Mozir Hospital,General Surgery Department

[21] Ziekenhius Netwerk Antwerpen,General and Trauma Surgery Department

[22] Bufalini Hospital,Upper Gatrointestinal Surgery

[23] Corporasiò Sanitaria Park Tauli,Department of Gastrointestinal Surgery

[24] Letterkenny Hospital,Department of Clinical Medicine

[25] Maggiore Hospital,Department of Surgery, School of Medicine

[26] Birmigham Hospital,Departments of Surgery and Anesthesiology, Division of Trauma and Surgical Critical Care

[27] Stavanger University Hospital,Département d’Anesthésie

[28] University of Bergen,Réanimation, CHU Bichat Claude

[29] Washington University,Bernard

[30] Vanderbilt University Medical Center,HUPNVS, Assistance Publique

[31] University Denis Diderot,Hôpitaux de Paris

[32] ICU department Sant’Orsola-Malpighi University Hospital,ICU Department

[33] Papa Giovanni XXIII Hospital,Trauma Surgery department

[34] University of Maryland School of Medicine,Emergency and Trauma Surgery department

[35] Niguarda Hospital,General Surgery department

[36] Assuta Medical Centers,undefined

来源：

World Journal of Emergency Surgery | / 12卷

关键词：

Open abdomen; Laparostomy; Non-trauma; Peritonitis; Pancreatitis; Vascular emergencies; Fistula; Nutrition; Re-exploration; Re-intervention; Closure; Biological; Synthetic; Mesh; Technique; Timing;

D O I：

暂无

中图分类号：

学科分类号：

摘要：

The open abdomen (OA) is defined as intentional decision to leave the fascial edges of the abdomen un-approximated after laparotomy (laparostomy). The abdominal contents are potentially exposed and therefore must be protected with a temporary coverage, which is referred to as temporal abdominal closure (TAC). OA use remains widely debated with many specific details deserving detailed assessment and clarification. To date, in patients with intra-abdominal emergencies, the OA has not been formally endorsed for routine utilization; although, utilization is seemingly increasing. Therefore, the World Society of Emergency Surgery (WSES), Abdominal Compartment Society (WSACS) and the Donegal Research Academy united a worldwide group of experts in an international consensus conference to review and thereafter propose the basis for evidence-directed utilization of OA management in non-trauma emergency surgery and critically ill patients. In addition to utilization recommendations, questions with insufficient evidence urgently requiring future study were identified.

引用

共 849 条

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