Open Abdomen pp 119-133 | Cite as

The Management of the Open Abdomen: The Temporary Closure Systems

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


  • 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.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Giulia Montori
    • 1
    Email author
  • 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

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