Open abdomen: a comprehensive review

When the abdominal viscera are visible due to a defect in wall, which is usually caused intentionally or as result of compartment syndrome, it referred an open abdomen. As protracted abdomen can problems including fluid and protein losses, intestinal fistulization, loss dominance, main goals temporal closure techniques prevent losses dominance. There several for short-term closure, each having advantages disadvantages. These include patch silo negative pressure systems based on towels sponges. After temporary patient monitored critical care unit while any required adjustments made dressings. Observational studies have shown that Wittmann Patch has highest average rate primary fascial when compared other operations. Yet, this sort might not be adequate stop its own. To monitor loss, device (sponge- towel-based) advised. It used either own combination with closing cavity. sign been removed, closed, ideally using major closure. If cannot achieved, functional may accomplished biological mesh inlay method. While there good probability developing posterior hernia, treatment adds new tissue where natural limits located. The fascia filled skin grafts once layer granulation developed over consolidated visceral mass if space between fascia's borders too large Effective prevention issues ultimately depend proper management supervision