“Acute postoperative open abdominal wall”: Nosological concept and treatment implications

The so-called "burst abdomen" has been described for many years and is a well-known clinical condition, whereas the concept of the "open abdomen" is relatively new. In clinical practice, both nosological entities are characterized by a complex spectrum of symptoms...

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Bibliographic Details
Published in:World journal of gastrointestinal surgery 2013-12, Vol.5 (12), p.314-320
Main Authors: López-Cano, Manuel, Pereira, José A, Armengol-Carrasco, Manuel
Format: Article
Language:English
Subjects:
abdomen
Abdominal
Burst
Enteroatmospheric
Evisceration
fistula
hernia
Incisional
Mesh
Minireviews
Negative
Open
pressure
therapy
wall
wound
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Summary:The so-called "burst abdomen" has been described for many years and is a well-known clinical condition, whereas the concept of the "open abdomen" is relatively new. In clinical practice, both nosological entities are characterized by a complex spectrum of symptoms apparently disconnected, which in many cases poses a great challenge for surgical repair. In order to assess the management of these disorders in a more comprehensive and integral fashion, the concept of "acute postoperative open abdominal wall"(acute POAW) is presented, which in turn can be divided into "intentional" or planned acute POAW and "unintentional" or unplanned POAW. The understanding of the acute POAW as a single clinical process not only allows a better optimization of the ther-apeutic approach in the surgical repair of abdominal wallrelated disorders, but also the stratification and collection of data in different patient subsets, favoring a better knowledge of the wide spectrum of conditions involved in the surgical reconstruction of the abdominal wall.
ISSN:1948-9366
1948-9366
DOI:10.4240/wjgs.v5.i12.314