Abdominal Sepsis - Current Definitions and Practice.

Area of Science:

• Surgical critical care
• Infectious diseases
• Abdominal surgery

Background:

• Abdominal sepsis is the second leading cause of sepsis, a critical global health issue.
• Open abdomen is a key component of damage control surgery for severe abdominal sepsis and intra-abdominal hypertension.

Purpose of the Study:

• To provide an updated literature review on definitions and current practice guidelines for abdominal sepsis.
• To illustrate clinical experiences in managing open abdomen wounds.

Main Methods:

• Narrative literature review of definitions and guidelines.
• Analysis of clinical experience in open abdomen management.

Main Results:

• Management of abdominal sepsis has advanced, significantly improving survival rates.
• Multidisciplinary team approach, rapid diagnosis, and adapted therapies are crucial.

Conclusions:

• Progress in understanding sepsis pathophysiology and temporary abdominal closure systems has evolved management.
• Integrated care involving fluid resuscitation, antimicrobial therapy, and damage-control surgery optimizes patient prognosis.