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Related Experiment Video

Updated: Jul 5, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

[Open abdomen. Evolution in management].

Luis Alberto Tavares-de la Paz¹, Pablo Andrade-de la Garza, Alberto Goné-Fernández

¹División de Gastrocirugía, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México. atavaresmd@yahoo.com

Cirugia Y Cirujanos

|May 22, 2008

Summary

The open abdomen (OA) strategy aids critically ill patients but carries high risks. Optimal temporary abdominal closure (TAC) techniques, like vacuum packing, are crucial for managing OA, with individualized approaches recommended.

Related Experiment Videos

Last Updated: Jul 5, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing

Published on: July 4, 2019

Area of Science:

Surgical Critical Care
Abdominal Surgery
Trauma Management

Context:

The open abdomen (OA) strategy is increasingly used for critically ill surgical patients.
Despite its benefits, OA is associated with significant morbidity and mortality.
Standardization of techniques for protecting intra-abdominal contents remains challenging.

Purpose:

To review the origins, indications, and controversies of staged abdominal repair (STAR).
To report on current techniques for optimal temporary abdominal closure (TAC).
To evaluate the effectiveness and risks of the OA strategy.

Summary:

The OA strategy is indicated in trauma, abdominal compartment syndrome, and severe intra-abdominal sepsis.
Temporary abdominal closure (TAC) techniques must be individualized; vacuum packing shows promising results.
Mesh use for protecting intra-abdominal contents is generally discouraged.

Impact:

The OA strategy is a valuable tool in complex surgical scenarios for critically ill patients.
Careful evaluation of OA use is essential due to potential severe complications.
Individualized TAC techniques, particularly vacuum packing, can optimize outcomes in OA management.