Interval Laparotomy with Placement of Temporary Closure

  • Carolyn Gosztyla
  • Howard I. PryorII


This chapter describes the surgical procedure for interval laparotomy with placement of temporary closure as performed by the following approach: open. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as that found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: laparotomy with abdominal exploration, temporary closure of the abdomen (wound VAC, silo, skin closure only, abdominal vacuum pack), and transfer to ICU for continued resuscitation.


Pediatric surgery Operative dictation Abdominal compartment syndrome Abdominal trauma Damage control surgery Septic peritonitis 

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Carolyn Gosztyla
    • 1
  • Howard I. PryorII
    • 2
  1. 1.Walter Reed National Military Medical Center, Department of General SurgeryBethesdaUSA
  2. 2.Division of Pediatric Surgery, Walter Reed National Military Medical Center, Department of SurgeryBethesdaUSA

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