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

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

doi:10.1186/s13017-017-0146-1

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

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. KirkpatrickRon 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

Department of Surgery

Research output: Contribution to journal › Review article › peer-review

86 Citations (Scopus)

Abstract

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.

Original language	English
Article number	39
Journal	World Journal of Emergency Surgery
Volume	12
Issue number	1
DOIs	https://doi.org/10.1186/s13017-017-0146-1
Publication status	Published - 2017

Keywords

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

ASJC Scopus subject areas

Surgery
Emergency Medicine

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10.1186/s13017-017-0146-1

Cite this

Coccolini, F., Montori, G., Ceresoli, M., Catena, F., Moore, E. E., Ivatury, R., Biffl, W., Peitzman, A., Coimbra, R., Rizoli, S., Kluger, Y., Abu-Zidan, F. M., Sartelli, M., Moya, M. D., Velmahos, G., Fraga, G. P., Pereira, B. M., Leppaniemi, A., Boermeester, M. A., ... Ansaloni, L. (2017). The role of open abdomen in non-trauma patient: WSES Consensus Paper. World Journal of Emergency Surgery, 12(1), Article 39. https://doi.org/10.1186/s13017-017-0146-1

Coccolini, F, Montori, G, Ceresoli, M, Catena, F, Moore, EE, Ivatury, R, Biffl, W, Peitzman, A, Coimbra, R, Rizoli, S, Kluger, Y, Abu-Zidan, FM, Sartelli, M, Moya, MD, Velmahos, G, Fraga, GP, Pereira, BM, Leppaniemi, A, Boermeester, MA, Kirkpatrick, AW, Maier, R, Bala, M, Sakakushev, B, Khokha, V, Malbrain, M, Agnoletti, V, Martin-Loeches, I, Sugrue, M, Saverio, SD, Griffiths, E, Soreide, K, Mazuski, JE, May, AK, Montravers, P, Melotti, RM, Pisano, M, Salvetti, F, Marchesi, G, Valetti, TM, Scalea, T, Chiara, O, Kashuk, JL & Ansaloni, L 2017, 'The role of open abdomen in non-trauma patient: WSES Consensus Paper', World Journal of Emergency Surgery, vol. 12, no. 1, 39. https://doi.org/10.1186/s13017-017-0146-1

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title = "The role of open abdomen in non-trauma patient: WSES Consensus Paper",

abstract = "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.",

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

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doi = "10.1186/s13017-017-0146-1",

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T2 - WSES Consensus Paper

AU - Coccolini, Federico

AU - Montori, Giulia

AU - Ceresoli, Marco

AU - Catena, Fausto

AU - Moore, Ernest E.

AU - Ivatury, Rao

AU - Biffl, Walter

AU - Peitzman, Andrew

AU - Coimbra, Raul

AU - Rizoli, Sandro

AU - Kluger, Yoram

AU - Abu-Zidan, Fikri M.

AU - Sartelli, Massimo

AU - Moya, Marc De

AU - Velmahos, George

AU - Fraga, Gustavo Pereira

AU - Pereira, Bruno M.

AU - Leppaniemi, Ari

AU - Boermeester, Marja A.

AU - Kirkpatrick, Andrew W.

AU - Maier, Ron

AU - Bala, Miklosh

AU - Sakakushev, Boris

AU - Khokha, Vladimir

AU - Malbrain, Manu

AU - Agnoletti, Vanni

AU - Martin-Loeches, Ignacio

AU - Sugrue, Michael

AU - Saverio, Salomone Di

AU - Griffiths, Ewen

AU - Soreide, Kjetil

AU - Mazuski, John E.

AU - May, Addison K.

AU - Montravers, Philippe

AU - Melotti, Rita Maria

AU - Pisano, Michele

AU - Salvetti, Francesco

AU - Marchesi, Gianmariano

AU - Valetti, Tino M.

AU - Scalea, Thomas

AU - Chiara, Osvaldo

AU - Kashuk, Jeffry L.

AU - Ansaloni, Luca

PY - 2017

Y1 - 2017

N2 - 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.

AB - 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.

KW - Biological

KW - Closure

KW - Fistula

KW - Laparostomy

KW - Mesh

KW - Non-trauma

KW - Nutrition

KW - Open abdomen

KW - Pancreatitis

KW - Peritonitis

KW - Re-exploration

KW - Re-intervention

KW - Synthetic

KW - Technique

KW - Timing

KW - Vascular emergencies

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U2 - 10.1186/s13017-017-0146-1

DO - 10.1186/s13017-017-0146-1

M3 - Review article

C2 - 28814969

AN - SCOPUS:85033410960

SN - 1749-7922

VL - 12

JO - World Journal of Emergency Surgery

JF - World Journal of Emergency Surgery

IS - 1

M1 - 39

ER -

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

Abstract

Keywords

ASJC Scopus subject areas

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