Trauma Surgery pp 245-255 | Cite as

Abdominal Compartment Syndrome and Open Abdomen for Trauma

  • Stefano M. CalderaleEmail author
  • Sergio Ribaldi
  • Gregorio Tugnoli
  • Eleonora Giorgini
  • Salomone Di Saverio


ACS is an abnormal condition determining progressive deterioration of viscera as a consequence of abdominal trauma or spontaneous pathologies.

It may be caused by an aggressive intensive care, in patients without any primary abdominal pathologies.

Knowledge of risk factors, monitoring techniques of the abdominal pressure, and abdominal perfusion pressure may allow prevention.

The treatment is represented by surgical decompression.

The open abdomen management, following surgical decompression, is a complex condition because of the hostile environment and requires the adoption of negative-pressure system.

The primary issue is represented by the primary fascia closure as the clinical conditions allow it; if this approach is not possible, a peritoneum bridge closure has to be carried out.


Acute Severe Pancreatitis Abdominal Compartment Syndrome Open Abdomen Damage Control Surgery Abdominal Cocoon 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Open_Abdomen_and_NPWT_Di_Saverio_1_LOW_RES (WMV 246 MB)

Open_Abdomen_and_NPWT_Di_Saverio_2_LOW_RES (WMV 58.6 MB)


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Copyright information

© Springer-Verlag Italia 2014

Authors and Affiliations

  • Stefano M. Calderale
    • 1
    Email author
  • Sergio Ribaldi
    • 2
  • Gregorio Tugnoli
    • 2
  • Eleonora Giorgini
    • 2
  • Salomone Di Saverio
    • 3
  1. 1.Department of Emergency SurgeryPoliclinico Umberto I – “Sapienza” Università di RomaRomeItaly
  2. 2.Trauma Surgery UnitMaggiore Hospital Trauma CenterBolognaItaly
  3. 3.Trauma Surgery UnitMaggiore Hospital Regional Trauma CenterBolognaItaly

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