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The Open Abdomen in Infants and Children

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Open Abdomen

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

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Abstract

Despite the long-standing experience in staged closure and open abdomen treatment, there is a wide spread reluctance to implement these treatments in the pediatric patients. Whereas the open abdomen has a sound and recognized role in the adult literature, the pediatric one lags behind showing that:

  • Intra-abdominal pressure is not measured on a routine basis.

  • Cut-off of intra-abdominal hypertension is often not standardized in the clinical practice.

  • The definition of abdominal compartment syndrome appears to be not so well understood in the pediatric intensivist community.

  • Open abdomen treatment is often reserved for “hopeless” cases with poor results.Aim of this chapter is to give an over view of the current state-of-art of open abdomen and acute compartment syndrome in the pediatric population. We will highlight definition of abdominal compartment syndrome, the way to measure the intra-abdominal pressure, the evidence of the implementation of open abdomen treatment with its outcome and the cases peculiar to the pediatric population (e.g. abdominal wall defects or mismatch between adult graft and pediatric abdominal domain).

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Author information

Authors and Affiliations

  1. Department of Anesthesia and Intensive Care Medicine, ASST Papa Giovanni XXII, Piazza OMS, 1, 24127, Bergamo, Italy

    Davide Corbella MD, Oliviero Fochi MD & Mirco Nacoti MD

  2. Department of Anesthesia & Pain Management, Toronto General Hospital, University Health Network, Toronto, ON, M5G 2C4, Canada

    Davide Corbella MD

Authors
  1. Davide Corbella MD
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  2. Oliviero Fochi MD
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  3. Mirco Nacoti MD
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Corresponding author

Correspondence to Davide Corbella MD .

Editor information

Editors and Affiliations

  1. General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy

    Federico Coccolini

  2. General Surgery, Virginia Commonvealth University, Richmond, Virginia, USA

    Rao Ivatury

  3. Letterkenny General Hospital, Letterkenny, Donegal, Ireland

    Michael Sugrue

  4. General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy

    Luca Ansaloni

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Corbella, D., Fochi, O., Nacoti, M. (2018). The Open Abdomen in Infants and Children. In: Coccolini, F., Ivatury, R., Sugrue, M., Ansaloni, L. (eds) Open Abdomen. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-319-48072-5_12

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  • DOI: https://doi.org/10.1007/978-3-319-48072-5_12

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-48071-8

  • Online ISBN: 978-3-319-48072-5

  • eBook Packages: MedicineMedicine (R0)

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