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Open Abdomen

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The Art of Hernia Surgery

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Abstract

In the mind of a general surgeon, to leave the open abdomen at the end of a procedure might generate an unconscious discomfort due to the feeling of having accomplished an incomplete act. However, it represents one of the major innovations over the last 20 years as lifesaving solution and a strategic moment in minimal damage control surgery, which transposes the warfare experience into the management of major surgical emergencies.

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References

  1. Hepburn HH. Br Med J. i I8I–3, February 15, 1919.

    Google Scholar 

  2. Coller FA, et al. The delayed closure of contaminated wounds: a preliminary report. Ann Surg. 1940;112(2):256–70.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  3. Burkhalter WE, Butler B. Experiences with delayed primary closure of war wounds of the hand in Vietnam. Plast Reconstr Surg. 1969;44(1):94. In the late summer and fall of 1965

    Article  Google Scholar 

  4. Dimick AR. Delayed wound closure: indications and techniques. War wounds of limbs—surgical management. Ann Emerg Med. 1988;17(12):1303–4.

    Article  CAS  PubMed  Google Scholar 

  5. Ogilvie WH. The late complications of abdominal war wounds. Lancet. 1940;2:253–6.

    Article  Google Scholar 

  6. Ogilvie WH. Surgical lessons of war applied to civil practice. Br Med J. 1945;1(4400):619–23.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  7. Hirshberg A, Mattox KL. Planned reoperation for severe trauma. Ann Surg. 1995;223:3–8.

    Article  Google Scholar 

  8. Steinberg D. On leaving the peritoneal cavity open in acute generalized suppurative peritonitis. Am J Surg. 1979;137(2):216–20.

    Article  CAS  PubMed  Google Scholar 

  9. Open management of the septic abdomen [editorial]. Lancet. 1986;2:138–9.

    Google Scholar 

  10. Mughal MM, Bancewicz J, Irving MH. “Laparostomy”: a technique for the management of intractable intra-abdominal sepsis. Br J Surg. 1986;73(4):253–9.

    Article  CAS  PubMed  Google Scholar 

  11. Duff JH, Moffat J. Abdominal sepsis managed by leaving abdomen open. Surgery. 1981;90(4):774–8.

    PubMed  CAS  Google Scholar 

  12. Haldipur N, et al. Managing the open abdomen. J R Army Med Corps. 2006;152:143–7.

    Article  CAS  PubMed  Google Scholar 

  13. More EE. Staged laparotomy for the hypothermia, acidosis and coagulopathy syndrome. Am J Surg. 1996;172:405–10.

    Article  Google Scholar 

  14. Mac Leod JBA. Trauma and Coagulopathy a new paradigm to consider. Arch Surg. 2008;143(8):797–801.

    Article  Google Scholar 

  15. GJ J, et al. Hypothermia in trauma victims: an ominous predictor of survival. J Trauma. 1987;27:101.

    Google Scholar 

  16. Slotman GJ, Jed EH, Burchard KW. Adverse effects of hypothermia in post-operative patients. Am J Surg. 1985;149(4):495–501.

    Article  CAS  PubMed  Google Scholar 

  17. Cushman JG, Feliciano DV, et al. Iliac vascular injury: operative physiology related to outcome. J Trauma. 1990;30:200.

    Article  Google Scholar 

  18. Inaba et al. Mortality impact of hypothermia after cavitary exploration in trauma. World J Surg. 2009;33:864–9.

    Article  Google Scholar 

  19. Kirkpatrick AW, et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med. 2013;39(7):1190–206.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Björck M, Bruhin A, Cheatham M, et al. Classification—important step to improve management of patients with an open abdomen. World J Surg. 2009;33(6):1154–7.

    Article  PubMed  Google Scholar 

  21. Bender JS, Bailey CE, Saxe JM, et al. The technique of visceral packing: recommended management of difficult fascial closure in trauma patients. J Trauma. 1994 Feb;36(2):182–5.

    Article  CAS  PubMed  Google Scholar 

  22. Morris JA Jr, Eddy VA, Blinman TA, et al. The staged celiotomy for trauma. Issues in unpacking and reconstruction. Ann Surg. 1993;217(5):576–84. discussion 584–6

    Article  PubMed  PubMed Central  Google Scholar 

  23. Bailey CMH, Thompson-Fawcett MW, Kettlewell MGW, Garrard C, Mortensen NJM. Laparostomy for severe intra-abdominal infection complicating colorectal disease. Dis Colon Rectum. 2000;43(1):25–30.

    Article  CAS  PubMed  Google Scholar 

  24. Leguit P Jr. Zip-closure of the abdomen. Neth J Surg. 1982;34(1):40–1.

    PubMed  Google Scholar 

  25. Stone HH, Strom PR, Mullins RJ. Pancreatic abscess management by subtotal resection and packing. World J Surg. 1984;8(3):340–5.

    Article  CAS  PubMed  Google Scholar 

  26. Teichmann W, Wittmann DH, Andreone PA. Scheduled reoperations (etappen lavage) for diffuse peritonitis. Arch Surg. 1986;121(2):147–52.

    Article  CAS  PubMed  Google Scholar 

  27. Utiyama EM, et al. Temporary abdominal closure with zipper-mesh device for management of intra-abdominal sepsis. Rev Col Bras Cir. 2015;42(1):018–24.

    Article  Google Scholar 

  28. Wittmann DH, Aprahamian C, Bergstein JM. Etappenlavage: advanced diffuse peritonitis managed by planned multiple laparotomies utilizing zippers, slide fastener, and Velcro analogue for temporary abdominal closure. World J Surg. 1990;14(2):218–26.

    Article  CAS  PubMed  Google Scholar 

  29. Haddock C, Konkin DE, Blair NP. Management of the open abdomen with the abdominal reapproximation anchor dynamic fascial closure system. Am J Surg. 2013;205(5):528–33.

    Article  PubMed  Google Scholar 

  30. Miller PR, Meredith JW, Johnson JC, Chang MC. Prospective evaluation of vacuum-assisted fascial closure after open abdomen: planned ventral hernia rate is substantially reduced. Ann Surg. 2004;239(5):608–14.

    Article  PubMed  PubMed Central  Google Scholar 

  31. Cothren CC, Moore EE, Johnson JL, Moore JB, Burch JM. One hundred percent fascial approximation with sequential abdominal closure of the open abdomen. Am J Surg. 2006;192(2):238–42.

    Article  PubMed  Google Scholar 

  32. Pliakos I, Papavramidis TS, Michalopoulos N, et al. The value of vacuum-assisted closure in septic patients treated with laparostomy. Am Surg. 2012;78(9):957–61.

    PubMed  Google Scholar 

  33. Kaplan M, Daly D, Stemkowski S. Early intervention of negative pressure wound therapy utilizing vacuum assisted closure in trauma patients: impact on hospital length of stay and cost. Adv Skin Wound Care. 2009;22(3):128–32.

    Article  PubMed  Google Scholar 

  34. Driver VR, De Leon JM. Health economic implications for wound care and limb preservation. J Manag Care Med. 2008;11(1):13–9.

    Google Scholar 

  35. De Leon JM, Nagel M, Fudge M et al. Early use of negative pressure wound therapy in long-term acute care patients is associated with reduced length of stay. Presented at the third congress of the World Union of Wound Healing Societies, 4–8 June 2008, Toronto, Ontario. PF225. 6-4-2008.

    Google Scholar 

  36. Acosta S, Bjarnason T, Petersson U, et al. Multicentre prospective study of fascial closure rate after open abdomen with vacuum and mesh-mediated fascial traction. Br J Surg. 2011;98(5):735–43.

    Article  CAS  PubMed  Google Scholar 

  37. Rasilainen SK, Mentula PJ, Leppäniemi AK. Vacuum and mesh-mediated fascial traction for primary closure of the open abdomen in critically ill surgical patients. Br J Surg. 2012;99(12):1725–32.

    Article  CAS  PubMed  Google Scholar 

  38. Bjarnason T, Montgomery A, Ekberg O, et al. One-year follow-up after open abdomen therapy with vacuum-assisted wound closure and mesh-mediated fascial traction. World J Surg. 2013;37(9):2031–8.

    Article  PubMed  Google Scholar 

  39. Vertrees A, Greer L, Pickett C, et al. Modern management of complex open abdominal wounds of war: a 5-year experience. J Am Coll Surg. 2008;207(6):801–9.

    Article  PubMed  Google Scholar 

  40. Hodgson NCF, Malthaner RA, Østbye T. The search for an ideal method of abdominal fascial closure. A meta-analysis. Ann Surg. 2000;231(3):436–42.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  41. Fansler RF, Taheri P, Cullinane C, Sabates B, Flint LM. Polypropylene mesh closure of the complicated abdominal wound. Am J Surg. 1995;170(1):15–8.

    Article  CAS  PubMed  Google Scholar 

  42. The Ventral Hernia Working Group. Surgery. 2010;148:544–58.

    Article  Google Scholar 

  43. Strom TB, et al. The Th1/Th2 paradigm and the allograft response. Curr Opin Immunol. 1996;8:688–93.

    Article  CAS  PubMed  Google Scholar 

  44. Melman L, et al. Early biocompatibility of crosslinked and non-crosslinked biologic meshes in a porcine model of ventral hernia repair. Hernia. 2011;15:157–64.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  45. Novitsky YW. Comparative analysis of histopathologic responses to implanted porcine biologic meshes. Hernia. 2014;18(5):713–21.

    Article  CAS  PubMed  Google Scholar 

  46. Harris HW. Clinical outcomes of biologic mesh: where do we stand? Surg Clin N Am. 2013;93:1217–25.

    Article  PubMed  Google Scholar 

  47. Ferzoco SJ. A systematic review of outcomes following repair of complex ventral incisional hernias with biologic mesh. Int Surg. 2013;98(4):399–408.

    Article  PubMed  PubMed Central  Google Scholar 

  48. Abdelfatah NR, Podgaetz E, Sarr MG. Long-term outcomes (>5-year follow-up) with porcine acellular dermal matrix (PermacolTM) in incisional hernias at risk for infection. Hernia. 2015;19:135–40.

    Article  CAS  PubMed  Google Scholar 

  49. Negro P, D’Amore L, Ceci F, Gossetti F. Comment to Long-term outcomes (>5-year follow-up) with porcine acellular dermal matrix (PermacolTM) in incisional hernias at risk for infection. Hernia. 2015;19(6):1023–4.

    Article  CAS  PubMed  Google Scholar 

  50. Harth KC, et al. Biologic mesh use practice patterns in abdominal wall reconstruction: a lack of consensus among surgeons. Hernia. 2013;17:13–20.

    Article  CAS  PubMed  Google Scholar 

  51. Ramirez OM, Ruas E, Dellon AL. “Components separation” method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg. 1990;86(3):519–26.

    Article  CAS  PubMed  Google Scholar 

  52. Novitsky YW, Elliott HL, Orenstein SB, Rosen MJ. Transversus abdominis muscle release: a novel approach to posterior component separation during complex abdominal wall reconstruction. Am J Surg. 2012;204(5):709–16.

    Article  PubMed  Google Scholar 

  53. Carbonell AM, Cobb WS, Chen SM. Posterior components separation during retromuscular hernia repair. Hernia. 2008;12(4):359–62.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. General Surgeon, Azienda USL Centro Toscana, Ospedale San Giovanni di Dio, Florence, Italy

    Pier Luigi Ipponi Ph., M.D.

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  1. Pier Luigi Ipponi Ph., M.D.
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Editors and Affiliations

  1. University of Insubria, Istituto Clinico, Sant’Ambrogio General Surgery Day Surgery, Milan, Italy

    Giampiero Campanelli

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Ipponi, P.L. (2018). Open Abdomen. In: Campanelli, G. (eds) The Art of Hernia Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-72626-7_63

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  • DOI: https://doi.org/10.1007/978-3-319-72626-7_63

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72624-3

  • Online ISBN: 978-3-319-72626-7

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