Open Abdomen pp 141-152 | Cite as

The Open Abdomen in Infants and Children

  • Davide CorbellaEmail author
  • Oliviero Fochi
  • Mirco Nacoti
Part of the Hot Topics in Acute Care Surgery and Trauma book series (HTACST)


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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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Davide Corbella
    • 1
    • 2
    Email author
  • Oliviero Fochi
    • 1
  • Mirco Nacoti
    • 1
  1. 1.Department of Anesthesia and Intensive Care MedicineASST Papa Giovanni XXIIBergamoItaly
  2. 2.Department of Anesthesia & Pain ManagementToronto General Hospital, University Health NetworkTorontoCanada

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