The Open Abdomen in Non-traumatic Vascular Emergencies
Open abdomen treatment is sometimes necessary to save lives in trauma and non-trauma surgical conditions . The vascular surgeon needs to be aware of the indications for open abdomen therapy (see Chap. 5), zones of injury and exposure of major abdominal vessels (see Chap. 6), and preferable temporary abdominal closure methods in vascular surgery. Besides damage control laparotomy  and short-term open abdomen therapy after major vessel trauma with severe bleeding and associated intra-abdominal injuries in the often younger patients, long-term open abdomen therapy is also necessary in the prevention and treatment of abdominal compartment syndrome (ACS) in elderly following repair of ruptured abdominal aortic aneurysms (AAA). Damage control laparotomy or abbreviated laparotomy with second-look laparotomy may also be an advantageous strategy in the management of patients with abdominal catastrophes such as advanced stages of acute mesenteric ischemia (AMI). This chapter deals only with open abdomen in non-traumatic vascular emergencies.
Conflict of Interest Statement
The authors declare no conflict of interest.
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