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Open Abdomen pp 109-117 | Cite as

The Open Abdomen in Non-traumatic Vascular Emergencies

  • S. Acosta
  • A. Wanhainen
  • M. Björck
Chapter
Part of the Hot Topics in Acute Care Surgery and Trauma book series (HTACST)

Abstract

Open abdomen treatment is sometimes necessary to save lives in trauma and non-trauma surgical conditions [1]. The vascular surgeon needs to be aware of the indications for open abdomen therapy (see Chap.  5), zones of injury and exposure of major abdominal vessels (see Chap.  6), and preferable temporary abdominal closure methods in vascular surgery. Besides damage control laparotomy [2] and short-term open abdomen therapy after major vessel trauma with severe bleeding and associated intra-abdominal injuries in the often younger patients, long-term open abdomen therapy is also necessary in the prevention and treatment of abdominal compartment syndrome (ACS) in elderly following repair of ruptured abdominal aortic aneurysms (AAA). Damage control laparotomy or abbreviated laparotomy with second-look laparotomy may also be an advantageous strategy in the management of patients with abdominal catastrophes such as advanced stages of acute mesenteric ischemia (AMI). This chapter deals only with open abdomen in non-traumatic vascular emergencies.

Notes

Conflict of Interest Statement

The authors declare no conflict of interest.

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Clinical Sciences, Vascular CentreLund UniversityMalmöSweden
  2. 2.Department of Surgical Sciences, Vascular SurgeryUppsala UniversityUppsalaSweden

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