Managing the Open Abdomen: Selecting an Appropriate Treatment Strategy

Area of Science:

• Surgery
• Abdominal Surgery
• Trauma Surgery

Background:

• Laparotomy is a frequent surgical procedure with diverse indications.
• Primary abdominal closure is ideal but not always feasible.
• The open abdomen (OA) technique is employed when primary closure is impossible.

Purpose of the Study:

• To review indications and objectives for the open abdomen (OA).
• To summarize temporary abdominal closure techniques.
• To present treatment algorithms based on expert recommendations.

Main Methods:

• Literature review of current recommendations and expert opinions.
• Analysis of evolving classifications for wound characteristics.
• Synthesis of recent findings on infection and malnutrition management.

Main Results:

• Multiple strategies and technologies have emerged for OA management.
• Updated classifications consider wound characteristics.
• Recent studies clarify recommendations for infection and malnutrition.

Conclusions:

• The open abdomen requires adaptable, comprehensive treatment strategies.
• Continuous updates to treatment recommendations are necessary.
• Evolving technologies and techniques necessitate ongoing guideline revisions.