Advertisement

Open Abdomen pp 119-133 | Cite as

The Management of the Open Abdomen: The Temporary Closure Systems

  • Giulia Montori
  • Federico Coccolini
  • Matteo Tomasoni
  • Paola Fugazzola
  • Marco Ceresoli
  • Fausto Catena
  • Luca Ansaloni
Chapter
Part of the Hot Topics in Acute Care Surgery and Trauma book series (HTACST)

Abstract

  • NPWT with continuous fascial traction is suggested as the preferred technique for TAC.

  • TAC without NPWT (e.g., mesh alone, Bogota bag) whenever possible should not be applied for the purpose of TAC, because of low delayed fascial closure rate and being accompanied by a significant intestinal fistula rate.

  • Wittman patch could be safety and less expensive alternative.

References

  1. 1.
    Demetriades D. Total management of the open abdomen. Int Wound J. 2012;9(Suppl. 1):17–24.CrossRefPubMedGoogle Scholar
  2. 2.
    Demetriades D, Salim A. Management of the open abdomen. Surg Clin N Am. 2014;94:131–53.CrossRefPubMedGoogle Scholar
  3. 3.
    Quyn AJ, Johnston C, Hall D, Chambers A, Arapova N, Ogston S, Amin AI. The open abdomen and temporary abdominal closure systems – historical evolution and systematic review. Color Dis. 2012;14(8):e429–38.CrossRefGoogle Scholar
  4. 4.
  5. 5.
    Huang Q, Li J, Lau WY. Techniques for abdominal wall closure after damage control laparotomy: from temporary abdominal closure to early/delayed fascial closure-a review. Gastroenterol Res Pract. 2016;2016:2073260.PubMedPubMedCentralGoogle Scholar
  6. 6.
    Burlew CC. The open abdomen: practical implications for the practicing surgeon. Am J Surg. 2012;204(6):826–35.CrossRefPubMedGoogle Scholar
  7. 7.
    Patel NY, Cogbill TH, Kallies KJ, Mathiason MA. Temporary abdominal closure: long-term outcomes. J Trauma. 2011;70(4):769–74.CrossRefPubMedGoogle Scholar
  8. 8.
    Joglar F, Agosto E, Marrero D, Canario QM, Rodriguez P. Dynamic retention suture closure: modified Bogotà bag approach. J Surg Res. 2010;162(2):274–8.CrossRefPubMedGoogle Scholar
  9. 9.
    Scholtes M, Kurmann A, Seiler CA, Candinas D, Beldi G. Intraperitoneal mesh implantation for fascial dehiscence and open abdomen. World J Surg. 2012;36(7):1557–61.CrossRefPubMedGoogle Scholar
  10. 10.
    Sutton PA, Evans JP, Uzair S, Varghese JV. The use of Gore Bio-A in the management of the open abdomen. BMJ Case Rep. 2013;2013:bcr2012008064.PubMedPubMedCentralGoogle Scholar
  11. 11.
    Miller PR, Thompson JT, Faler BJ, Meredith JW, Chang MC. Late fascial closure in lieu of ventral hernia: the next step in open abdomen management. J Trauma. 2002;53:843–9.CrossRefPubMedGoogle Scholar
  12. 12.
    Roberts DJ, Zygun DA, Grendar J, Ball CG, Robertson HL, Ouellet JF, Cheatham ML, Kirkpatrick AW. Negative-pressure wound therapy for critically ill adults with open abdominal wounds: a systematic review. J Trauma Acute Care Surg. 2012;73(3):629–39.CrossRefPubMedGoogle Scholar
  13. 13.
    Brock WB, Barker DE, Burns RP. Temporary closure of open abdominal wounds: the vacuum pack. Am Surg. 1995;61(1):30–5.PubMedPubMedCentralGoogle Scholar
  14. 14.
    Barker DE, Kaufman H, Smith LA, et al. Vacuum pack technique of temporary abdominal closure: a 7-year experience with 112 patients. J Trauma. 48(200):201. discussion 606.CrossRefGoogle Scholar
  15. 15.
    Cheatham ML, Demetriades D, Fabian TC, et al. A prospective study examining clinical outcomes associated with a negative pressure wound therapy system and Barker’s vacuum packing technique. World J Surg. 2013;37:2018–30.CrossRefPubMedPubMedCentralGoogle Scholar
  16. 16.
    Kirkpatrick AW, Roberts DJ, Faris PD, Ball CG, Kubes P, Tiruta C, Xiao Z, Holodinsky JK, McBeth PB, Doig CJ, Jenne CN. Active negative pressure peritoneal therapy after abbreviated laparotomy: the intraperitoneal vacuum randomized controlled trial. Ann Surg. 2015;262(1):38–46.CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Atema JJ, Gans SL, Boermeester MA. Systematic review and meta-analysis of the open abdomen and temporary abdominal closure techniques in non-trauma patients. World J Surg. 2015;39(4):912–25.CrossRefPubMedGoogle Scholar
  18. 18.
    Suliburk J, Ware D, Balogh Z, McKinley B, Cocanour C, Kozar R, et al. Vacuum-assisted wound closure achieves early fascial closure of open abdomens after severe trauma. J Trauma. 2003;55:1155–60.CrossRefPubMedGoogle Scholar
  19. 19.
    Verdam FJ, Dolmans DE, Loos MJ, Raber MH, de Wit RJ, Charbon JA, Vroemen JP. Delayed primary closure of the septic open abdomen with a dynamic closure system. World J Surg. 2011;35(10):2348–55.CrossRefPubMedPubMedCentralGoogle Scholar
  20. 20.
    Haddock C, Konkin DE, Blair NP. Management of the open abdomen with the abdominal reapproximation anchor dynamic fascial closure system. Am J Surg. 2013;205(5):528–33. discussion 533.CrossRefPubMedGoogle Scholar
  21. 21.
    Barker DE, Green JM, Maxwell RA, et al. Experience with vacuum- pack temporary abdominal wound closure in 258 trauma and general and vascular surgical patients. J Am Coll Surg. 2007;204:784–92.CrossRefPubMedGoogle Scholar
  22. 22.
    Miller PR, Meredith JW, Johnson JC, Chang MC. Prospective evaluation of vacuum-assisted fascial closure after open abdomen: planned ventral hernia rate is substantially reduced. Ann Surg. 2004;239:608–14.CrossRefPubMedPubMedCentralGoogle Scholar
  23. 23.
    Garner GB, Ware DN, Cocanour CS, et al. Vacuum-assisted wound closure provides early fascial reapproximation in trauma patients with open abdomens. Am J Surg. 2001;182:630–8.CrossRefPubMedGoogle Scholar
  24. 24.
    Burlew CC, Moore EE, Biffl WL, Bensard DD, Johnson JL, Barnett CC. One hundred percent fascial approximation can be achieved in the postinjury open abdomen with a sequential closure protocol. J Trauma Acute Care Surg. 2012;72(1):235–41.CrossRefPubMedGoogle Scholar
  25. 25.
    Fortelny RH, Hofmann A, Gruber-Blum S, Petter-Puchner AH, Glaser KS. Delayed closure of open abdomen in septic patients is facilitated by combined negative pressure wound therapy and dynamic fascial suture. Surg Endosc. 2014;28(3):735–40.CrossRefPubMedGoogle Scholar
  26. 26.
    Acosta S, Bjarnason T, Petersson U, Pålsson B, Wanhainen A, Svensson M, Djavani K, Björck M. Multicentre prospective study of fascial closure rate after open abdomen with vacuum and mesh-mediated fascial traction. Br J Surg. 2011;98(5):735–43.CrossRefPubMedGoogle Scholar
  27. 27.
    Björck M, Bruhin A, Cheatham M, Hinck D, Kaplan M, Manca G, Wild T, Windsor A. Classification--important step to improve management of patients with an open abdomen. World J Surg. 2009;33(6):1154–7.CrossRefPubMedGoogle Scholar
  28. 28.
    Björck M, Kirkpatrick AW, Cheatham M, Kaplan M, Leppäniemi A, De Waele JJ. Amended classification of the open abdomen. Scand J Surg. 2016;105(1):5–10.CrossRefPubMedGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Giulia Montori
    • 1
  • Federico Coccolini
    • 2
  • Matteo Tomasoni
    • 1
  • Paola Fugazzola
    • 1
  • Marco Ceresoli
    • 1
  • Fausto Catena
    • 3
  • Luca Ansaloni
    • 2
  1. 1.Unit of General and Emergency SurgeryPapa Giovanni XXIII HospitalBergamoItaly
  2. 2.General, Emergency and Trauma Surgery DepartmentBufalini HospitalCesenaItaly
  3. 3.Unit of General and Emergency SurgeryParma University HospitalParmaItaly

Personalised recommendations