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Open Abdomen pp 229-236 | Cite as

Mistakes in the Open Abdomen

  • Michael Sugrue
  • Mary Connolly
Chapter
Part of the Hot Topics in Acute Care Surgery and Trauma book series (HTACST)

Abstract

Throughout the clinical spectrum of emergency and trauma surgery, the referral, the consultation, the key moments of early preoperative care, and the surgery, remember the patient’s life is in your hands. Not only is the family hoping for the best outcome, but the clinical team is wishing the patient through their critical illness. The patient’s survival is dependent on the right call—no mistakes and excellent decision-making—everything is your responsibility! Your decision process and surgical technique combined will hopefully provide excellent care and avoid significant mistakes.

With mortality over 10% for most emergency laparotomies, a decision to leave the abdomen open indicates the patient is at a level of even higher risk. Make an error in care, and your patient’s mortality will climb.

This chapter explores the mistakes you could make and suggests ways to avoid them throughout the spectrum of care from preoperative to closure.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of SurgeryLetterkenny University Hospital, Donegal Clinical Research Academy IrelandDonegalIreland

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