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The role of the open abdomen procedure in managing severe abdominal sepsis: WSES position paper
M. Sartelli, FM. Abu-Zidan, L. Ansaloni, M. Bala, MA. Beltrán, WL. Biffl, F. Catena, O. Chiara, F. Coccolini, R. Coimbra, Z. Demetrashvili, D. Demetriades, JJ. Diaz, S. Di Saverio, GP. Fraga, W. Ghnnam, EA. Griffiths, S. Gupta, A. Hecker, A....
Jazyk angličtina Země Anglie, Velká Británie
Typ dokumentu časopisecké články, přehledy
BioMedCentral Open Access od 2006
Directory of Open Access Journals od 2006
Free Medical Journals od 2006
PubMed Central od 2006
Europe PubMed Central od 2006
ProQuest Central od 2009-01-01
Open Access Digital Library od 2006-01-01
Open Access Digital Library od 2006-01-01
Health & Medicine (ProQuest) od 2009-01-01
ROAD: Directory of Open Access Scholarly Resources od 2006
Springer Nature OA/Free Journals od 2006-12-01
Odkazy
PubMed
26269709
DOI
10.1186/s13017-015-0032-7
Knihovny.cz E-zdroje
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
The 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.
Abdominal Center University Hospital Meilahti Helsinki Finland
Centro de investigaciones clínicas Fundación Valle del Lili Cali Colombia
Clinic for Emergency Surgery Faculty of Medicine University of Belgrade Belgrade Serbia
Department of General and Thoracic Surgery University Hospital of Giessen Giessen Germany
Department of General Surgery Rambam Health Care Campus Haifa Israel
Department of Surgery Edendale Hospital Pietermaritzburg Republic of South Africa
Department of Surgery Government Medical College and Hospital Chandigarh India
Department of Surgery Hospital San Juan de Dios La Serena Chile
Department of Surgery Macerata Hospital Via Santa Lucia 2 62100 Macerata Italy
Department of Surgery Mansoura Faculty of Medicine Mansoura University Mansoura Egypt
Department of Surgery Mayo Clinic Rochester MN USA
Department of Surgery MOSC Medical College Kolenchery Cochin India
Department of Surgery Post Graduate Institute of Medical Sciences Rohtak India
Department of Surgery Queen Elizabeth Hospital Birmingham UK
Department of Surgery Tan Tock Seng Hospital Singapore Singapore
Department of Surgery Trauma Research Institute University of Arizona Tucson AZ USA
Department of Surgery University Hospital of the West Indies Kingston Jamaica
Department of Surgery University of Colorado Denver Health Medical Center Denver USA
Department of Surgery University of Florida Gainesville FL USA
Department of Surgery Yonsei University College of Medicine Seoul South Korea
Department of Visceral Thorax and Transplant Surgery University of Innsbruck Innsbruck Austria
Division of Emergency and Trauma Surgery Ribeirão Preto Medical School Ribeirão Preto Brazil
Emergency Department Niguarda Ca' Granda Hospital Milan Italy
Emergency Surgery Department Maggiore Parma Hospital Parma Italy
General Surgery 1 Papa Giovanni XXIII Hospital Bergamo Italy
Shock Trauma Center University of Maryland School of Medicine Baltimore USA
Trauma and Acute Care Surgery Unit Hadassah Hebrew University Medical Center Jerusalem Israel
Trauma Emergency Surgery Surgical Critical Care University of Southern California Los Angeles USA
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