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Open Abdomen pp 95-100 | Cite as

Open Abdomen in Patients with Abdominal Sepsis

  • Massimo Sartelli
  • Federico Coccolini
  • Fausto Catena
  • Luca Ansaloni
Chapter
Part of the Hot Topics in Acute Care Surgery and Trauma book series (HTACST)

Abstract

The “open abdomen” (OA) may be an interesting option in the management of critically ill surgical patients with ongoing sepsis. However its precise role in these patients is still not clear.

In ongoing abdominal sepsis, the OA has three advantages: may allow early control of any persistent source of infection removing more effectively infected or cytokine-loaded peritoneal fluid, prevent abdominal compartment syndrome, and defer definitive intervention and anastomosis until the patient is hemodynamically stable and thus better able to heal (Sartelli et al., World J Emerg Surg 10:35, 2015).

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Massimo Sartelli
    • 1
  • Federico Coccolini
    • 2
  • Fausto Catena
    • 3
  • Luca Ansaloni
    • 2
  1. 1.Department of SurgeryMacerata HospitalMacerataItaly
  2. 2.General, Emergency and Trauma Surgery DepartmentBufalini HospitalCesenaItaly
  3. 3.Emergency Surgery DepartmentMaggiore Parma HospitalParmaItaly

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