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The open abdomen in...
The open abdomen in trauma, acute care, and vascular and endovascular surgery : comprehensive, expert, narrative review
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- Roberts, Derek J. (författare)
- Univ Ottawa, Dept Surg, Div Vasc & Endovasc Surg, Ottawa, ON, Canada.;Ottawa Hosp, Ottawa, ON, Canada.;Univ Ottawa, Sch Epidemiol & Publ Hlth, Ottawa, ON, Canada.;Ottawa Hosp, Ottawa Hosp Res Inst, Clin Epidemiol Program, Ottawa, ON, Canada.,Ottawa Hospital Research Institute,University of Ottawa
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- Leppäniemi, Ari (författare)
- Helsinki Univ Hosp, Abdominal Ctr, Dept Abdominal Surg, Helsinki, Finland.;Univ Helsinki, Helsinki, Finland.,Helsinki University Central Hospital
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- Tolonen, Matti (författare)
- Helsinki Univ Hosp, Abdominal Ctr, Dept Abdominal Surg, Helsinki, Finland.;Univ Helsinki, Helsinki, Finland.,Helsinki University Central Hospital
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- Mentula, Panu (författare)
- Helsinki Univ Hosp, Abdominal Ctr, Dept Abdominal Surg, Helsinki, Finland.;Univ Helsinki, Helsinki, Finland.,Helsinki University Central Hospital
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- Björck, Martin (författare)
- Uppsala University,Uppsala universitet,Kärlkirurgi
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- Kirkpatrick, Andrew W. (författare)
- TeleMentored Ultrasound Supported Med Intervent T, Calgary, AB, Canada.;Univ Calgary, Dept Surg, Calgary, AB, Canada.;Univ Calgary, Dept Crit Care Med, Calgary, AB, Canada.,University of Calgary
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- Sugrue, Michael (författare)
- Univ Hosp Donegal, Dept Surg Letterkenny, Donegal, Ireland.,Letterkenny University Hospital
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- Pereira, Bruno M. (författare)
- Vassouras Univ, Masters Program Hlth Appl Sci, Dept Surg, Vassouras, RJ, Brazil.;Campinas Holy House Gen Surg Residency Program, Dept Surg, Campinas, SP, Brazil.,Vassouras University
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- Petersson, Ulf (författare)
- Lund University,Lunds universitet,Kirurgi,Forskargrupper vid Lunds universitet,Surgery,Lund University Research Groups,Skåne University Hospital
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- Coccolini, Federico (författare)
- Pisa Univ Hosp, Dept Gen Emergency & Trauma Surg, Pisa, Italy.,University Hospital of Pisa
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- Latifi, Rifat (författare)
- Westchester Med Ctr, Dept Surg, Valhalla, NY USA.,Westchester Medical Center
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Univ Ottawa, Dept Surg, Div Vasc & Endovasc Surg, Ottawa, ON, Canada;Ottawa Hosp, Ottawa, ON, Canada.;Univ Ottawa, Sch Epidemiol & Publ Hlth, Ottawa, ON, Canada.;Ottawa Hosp, Ottawa Hosp Res Inst, Clin Epidemiol Program, Ottawa, ON, Canada. Ottawa Hospital Research Institute (creator_code:org_t)
- Oxford University Press, 2023
- 2023
- Engelska.
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Ingår i: BJS Open. - : Oxford University Press. - 2474-9842. ; 7:5
- Relaterad länk:
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https://doi.org/10.1...
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https://uu.diva-port... (primary) (Raw object)
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http://dx.doi.org/10... (free)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://lup.lub.lu.s...
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Abstract
Ämnesord
Stäng
- BackgroundThe open abdomen is an innovation that greatly improved surgical understanding of damage control, temporary abdominal closure, staged abdominal reconstruction, viscera and enteric fistula care, and abdominal wall reconstruction. This article provides an evidence-informed, expert, comprehensive narrative review of the open abdomen in trauma, acute care, and vascular and endovascular surgery.MethodsA group of 12 international trauma, acute care, and vascular and endovascular surgery experts were invited to review current literature and important concepts surrounding the open abdomen.ResultsThe open abdomen may be classified using validated systems developed by a working group in 2009 and modified by the World Society of the Abdominal Compartment Syndrome-The Abdominal Compartment Society in 2013. It may be indicated in major trauma, intra-abdominal sepsis, vascular surgical emergencies, and severe acute pancreatitis; to facilitate second look laparotomy or avoid or treat abdominal compartment syndrome; and when the abdominal wall cannot be safely closed. Temporary abdominal closure and staged abdominal reconstruction methods include a mesh/sheet, transabdominal wall dynamic fascial traction, negative pressure wound therapy, and hybrid negative pressure wound therapy and dynamic fascial traction. This last method likely has the highest primary fascial closure rates. Direct peritoneal resuscitation is currently an experimental strategy developed to improve primary fascial closure rates and reduce complications in those with an open abdomen. Primary fascial closure rates may be improved by early return to the operating room; limiting use of crystalloid fluids during the surgical interval; and preventing and/or treating intra-abdominal hypertension, enteric fistulae, and intra-abdominal collections after surgery. The majority of failures of primary fascial closure and enteroatmospheric fistula formation may be prevented using effective temporary abdominal closure techniques, providing appropriate resuscitation fluids and nutritional support, and closing the abdomen as early as possible.ConclusionSubsequent stages of the innovation of the open abdomen will likely involve the design and conduct of prospective studies to evaluate appropriate indications for its use and effectiveness and safety of the above components of open abdomen management.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
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Roberts, Derek J ...
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Leppäniemi, Ari
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Tolonen, Matti
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Mentula, Panu
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Björck, Martin
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Kirkpatrick, And ...
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Sugrue, Michael
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Pereira, Bruno M ...
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Petersson, Ulf
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Coccolini, Feder ...
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Latifi, Rifat
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