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Open abdomen in trauma patients: a double-edged sword

The use of open abdomen (OA) as a technique in the treatment of exsanguinating trauma patients was first described in the mid-19(th) century. Since the 1980s, OA has become a relatively new and increasingly common strategy to manage massive trauma and abdominal catastrophes. OA has been proven to he...

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Autores principales: Huang, Yu-hua, Li, You-sheng
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4818399/
https://www.ncbi.nlm.nih.gov/pubmed/27042329
http://dx.doi.org/10.1186/s40779-016-0079-0
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author Huang, Yu-hua
Li, You-sheng
author_facet Huang, Yu-hua
Li, You-sheng
author_sort Huang, Yu-hua
collection PubMed
description The use of open abdomen (OA) as a technique in the treatment of exsanguinating trauma patients was first described in the mid-19(th) century. Since the 1980s, OA has become a relatively new and increasingly common strategy to manage massive trauma and abdominal catastrophes. OA has been proven to help reduce the mortality of trauma. Nevertheless, the OA method may be associated with terrible and devastating complications such as enteroatmospheric fistula (EAF). As a result, OA should not be overused, and attention should be given to critical care as well as special management. The temporary abdominal closure (TAC) technique after abbreviated laparotomy was used to improve wound healing and facilitate final fascial closure of OA. Negative pressure therapy (NPT) is the most commonly used TAC method.
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spelling pubmed-48183992016-04-03 Open abdomen in trauma patients: a double-edged sword Huang, Yu-hua Li, You-sheng Mil Med Res Perspective The use of open abdomen (OA) as a technique in the treatment of exsanguinating trauma patients was first described in the mid-19(th) century. Since the 1980s, OA has become a relatively new and increasingly common strategy to manage massive trauma and abdominal catastrophes. OA has been proven to help reduce the mortality of trauma. Nevertheless, the OA method may be associated with terrible and devastating complications such as enteroatmospheric fistula (EAF). As a result, OA should not be overused, and attention should be given to critical care as well as special management. The temporary abdominal closure (TAC) technique after abbreviated laparotomy was used to improve wound healing and facilitate final fascial closure of OA. Negative pressure therapy (NPT) is the most commonly used TAC method. BioMed Central 2016-04-01 /pmc/articles/PMC4818399/ /pubmed/27042329 http://dx.doi.org/10.1186/s40779-016-0079-0 Text en © Huang and Li. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Perspective
Huang, Yu-hua
Li, You-sheng
Open abdomen in trauma patients: a double-edged sword
title Open abdomen in trauma patients: a double-edged sword
title_full Open abdomen in trauma patients: a double-edged sword
title_fullStr Open abdomen in trauma patients: a double-edged sword
title_full_unstemmed Open abdomen in trauma patients: a double-edged sword
title_short Open abdomen in trauma patients: a double-edged sword
title_sort open abdomen in trauma patients: a double-edged sword
topic Perspective
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4818399/
https://www.ncbi.nlm.nih.gov/pubmed/27042329
http://dx.doi.org/10.1186/s40779-016-0079-0
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