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

Persistent Link:
http://hdl.handle.net/10150/610338
Title:
The role of the open abdomen procedure in managing severe abdominal sepsis: WSES position paper
Author:
Sartelli, M.; Abu-Zidan, F. M.; Ansaloni, L.; Bala, M.; Beltran, 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.
Affiliation:
Department of Surgery, Macerata Hospital; Department of Surgery, College of Medicine and Health Sciences, UAE University; General Surgery I, Papa Giovanni XXIII Hospital; Trauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Center; Department of Surgery, Hospital San Juan de Dios; Department of Surgery, University of Colorado, Denver Health Medical Center; Emergency Surgery Department, Maggiore Parma Hospital; Emergency Department, Niguarda Ca' Hospital; Division of Trauma, Surgical Critical Care, Burns, and Acute Care Surgery, University of California Sand Diego Health Science; Department of Surgery, Tbilisi State Medical University, Kipshidze Central University Hospital; Trauma, Emergency Surgery, Surgical Critical Care, University of Southern California; Shock Trauma Center, University of Maryland School of Medicine; Trauma Surgery Unit, Maggiore Hospital; Division of Trauma Surgery, Hospital de Clinicas, School of Medical Sciences, University of Campinas; Department of Surgery Mansoura, Falculty of Medicine, Mansoura University; Department of Surgery, Queen Elizabeth Hospital; Department f Surgery Government Medical College and Hospital; Department of General and Thoracic Surgery, University Hospital of Giessen; Clinic for Emergency Surgery, Faculty of Medicine, University of Belgrade; Department of Surgery, Edendale Hospital; Department of Visceral, Thorax and Transplant Surgery, University of Innsbruck; Department of General Surgery, Rambam Health Care Campus; Department of Surgery, Trauma Research Institute, University of Arizona; Abdominal Center, University Hospital Meilahti; Department of Surgery, Yonsei University College of Medicine; Department of Surgery, University Hospital of the West Indies; Department of Surgery, Post-Graduate Institute of Medical Sciences; Department of Surgery, University of Florida; Department of Surgery, Fundación Valle del Lili, Hospital Universitario del Valle, Universidad del Valle; Division of Emergency and Trauma Surgery, Ribeirão Preto Medical School; Department of General and Emergency Surgery, Riga East Clinical University Hospital "Gailezers"; Department of Surgery, Tan Tock Seng Hospital; 1st Surgical Department of First Faculty of Medicine, General University Hospital, Prague Charles University; Department of Surgery, MOSC Medical College Kolenchery; Department of Surgery, Mayo Clinic; Centro de investigaciones clínicas, Fundación Valle del Lili
Issue Date:
2015
Publisher:
BioMed Central
Citation:
Sartelli et al. World Journal of Emergency Surgery (2015) 10:35 DOI 10.1186/s13017-015-0032-7
Journal:
World Journal of Emergency Surgery
Rights:
© 2015 Sartelli et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/)
Collection Information:
This item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.
Abstract:
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.
EISSN:
 1749-7922
PubMed ID:
26269709
PubMed Central ID:
PMC4534034
DOI:
10.1186/s13017-015-0032-7 [doi]
Version:
Final published version
Additional Links:
http://www.wjes.org/content/10/1/35

Full metadata record

DC FieldValue Language
dc.contributor.authorSartelli, M.en
dc.contributor.authorAbu-Zidan, F. M.en
dc.contributor.authorAnsaloni, L.en
dc.contributor.authorBala, M.en
dc.contributor.authorBeltran, M. A.en
dc.contributor.authorBiffl, W. L.en
dc.contributor.authorCatena, F.en
dc.contributor.authorChiara, O.en
dc.contributor.authorCoccolini, F.en
dc.contributor.authorCoimbra, R.en
dc.contributor.authorDemetrashvili, Z.en
dc.contributor.authorDemetriades, D.en
dc.contributor.authorDiaz, J. J.en
dc.contributor.authorDi Saverio, S.en
dc.contributor.authorFraga, G. P.en
dc.contributor.authorGhnnam, W.en
dc.contributor.authorGriffiths, E. A.en
dc.contributor.authorGupta, S.en
dc.contributor.authorHecker, A.en
dc.contributor.authorKaramarkovic, A.en
dc.contributor.authorKong, V. Y.en
dc.contributor.authorKafka-Ritsch, R.en
dc.contributor.authorKluger, Y.en
dc.contributor.authorLatifi, R.en
dc.contributor.authorLeppaniemi, A.en
dc.contributor.authorLee, J. G.en
dc.contributor.authorMcFarlane, M.en
dc.contributor.authorMarwah, S.en
dc.contributor.authorMoore, F. A.en
dc.contributor.authorOrdonez, C. A.en
dc.contributor.authorPereira, G. A.en
dc.contributor.authorPlaudis, H.en
dc.contributor.authorShelat, V. G.en
dc.contributor.authorUlrych, J.en
dc.contributor.authorZachariah, S. K.en
dc.contributor.authorZielinski, M. D.en
dc.contributor.authorGarcia, M. P.en
dc.contributor.authorMoore, E. E.en
dc.date.accessioned2016-05-20T09:04:36Z-
dc.date.available2016-05-20T09:04:36Z-
dc.date.issued2015en
dc.identifier.citationSartelli et al. World Journal of Emergency Surgery (2015) 10:35 DOI 10.1186/s13017-015-0032-7en
dc.identifier.pmid26269709en
dc.identifier.doi10.1186/s13017-015-0032-7 [doi]en
dc.identifier.urihttp://hdl.handle.net/10150/610338-
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.language.isoenen
dc.publisherBioMed Centralen
dc.relation.urlhttp://www.wjes.org/content/10/1/35en
dc.rights© 2015 Sartelli et al. Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/)en
dc.titleThe role of the open abdomen procedure in managing severe abdominal sepsis: WSES position paperen
dc.typeArticleen
dc.identifier.eissn 1749-7922en
dc.contributor.departmentDepartment of Surgery, Macerata Hospitalen
dc.contributor.departmentDepartment of Surgery, College of Medicine and Health Sciences, UAE Universityen
dc.contributor.departmentGeneral Surgery I, Papa Giovanni XXIII Hospitalen
dc.contributor.departmentTrauma and Acute Care Surgery Unit, Hadassah Hebrew University Medical Centeren
dc.contributor.departmentDepartment of Surgery, Hospital San Juan de Diosen
dc.contributor.departmentDepartment of Surgery, University of Colorado, Denver Health Medical Centeren
dc.contributor.departmentEmergency Surgery Department, Maggiore Parma Hospitalen
dc.contributor.departmentEmergency Department, Niguarda Ca' Hospitalen
dc.contributor.departmentDivision of Trauma, Surgical Critical Care, Burns, and Acute Care Surgery, University of California Sand Diego Health Scienceen
dc.contributor.departmentDepartment of Surgery, Tbilisi State Medical University, Kipshidze Central University Hospitalen
dc.contributor.departmentTrauma, Emergency Surgery, Surgical Critical Care, University of Southern Californiaen
dc.contributor.departmentShock Trauma Center, University of Maryland School of Medicineen
dc.contributor.departmentTrauma Surgery Unit, Maggiore Hospitalen
dc.contributor.departmentDivision of Trauma Surgery, Hospital de Clinicas, School of Medical Sciences, University of Campinasen
dc.contributor.departmentDepartment of Surgery Mansoura, Falculty of Medicine, Mansoura Universityen
dc.contributor.departmentDepartment of Surgery, Queen Elizabeth Hospitalen
dc.contributor.departmentDepartment f Surgery Government Medical College and Hospitalen
dc.contributor.departmentDepartment of General and Thoracic Surgery, University Hospital of Giessenen
dc.contributor.departmentClinic for Emergency Surgery, Faculty of Medicine, University of Belgradeen
dc.contributor.departmentDepartment of Surgery, Edendale Hospitalen
dc.contributor.departmentDepartment of Visceral, Thorax and Transplant Surgery, University of Innsbrucken
dc.contributor.departmentDepartment of General Surgery, Rambam Health Care Campusen
dc.contributor.departmentDepartment of Surgery, Trauma Research Institute, University of Arizonaen
dc.contributor.departmentAbdominal Center, University Hospital Meilahtien
dc.contributor.departmentDepartment of Surgery, Yonsei University College of Medicineen
dc.contributor.departmentDepartment of Surgery, University Hospital of the West Indiesen
dc.contributor.departmentDepartment of Surgery, Post-Graduate Institute of Medical Sciencesen
dc.contributor.departmentDepartment of Surgery, University of Floridaen
dc.contributor.departmentDepartment of Surgery, Fundación Valle del Lili, Hospital Universitario del Valle, Universidad del Valleen
dc.contributor.departmentDivision of Emergency and Trauma Surgery, Ribeirão Preto Medical Schoolen
dc.contributor.departmentDepartment of General and Emergency Surgery, Riga East Clinical University Hospital "Gailezers"en
dc.contributor.departmentDepartment of Surgery, Tan Tock Seng Hospitalen
dc.contributor.department1st Surgical Department of First Faculty of Medicine, General University Hospital, Prague Charles Universityen
dc.contributor.departmentDepartment of Surgery, MOSC Medical College Kolencheryen
dc.contributor.departmentDepartment of Surgery, Mayo Clinicen
dc.contributor.departmentCentro de investigaciones clínicas, Fundación Valle del Lilien
dc.identifier.journalWorld Journal of Emergency Surgeryen
dc.identifier.pmcidPMC4534034en
dc.description.collectioninformationThis item is part of the UA Faculty Publications collection. For more information this item or other items in the UA Campus Repository, contact the University of Arizona Libraries at repository@u.library.arizona.edu.en
dc.eprint.versionFinal published versionen

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