The Open Abdomen: Management from Initial Laparotomy to Definitive Closure

  • Fred A. Luchette
  • Stathis J. Poulakidas
  • Thomas J. Esposito


A 67-year-old patient has undergone a prolonged and complicated operation for mesenteric ischemic (embolic etiology). Circulation has just been restored to the ischemic bowel; however, the patient is hypothermic (34°C), acidotic, and coagulopathic. Which of the following is the appropriate management at this time?
  1. (A)

    Wood’s lamp assessment of bowel viability

  2. (B)

    Repeated on-table angiography after 45 minutes

  3. (C)

    Administration of mannitol

  4. (D)

    Immediate fascial closure of the abdomen

  5. (E)

    Creative abdominal closure



Ventral Hernia Small Intestinal Submucosa Open Abdomen Abdominal Wall Defect Component Separation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Fred A. Luchette
    • 1
  • Stathis J. Poulakidas
    • 1
  • Thomas J. Esposito
    • 2
  1. 1.Department of Surgery, Division of Trauma, Surgical Critical Care, and Burns, Loyola University Medical CenterFoster G. McGaw HospitalMaywoodUSA
  2. 2.Department of Surgery, Section of Trauma, Injury Analysis, and Prevention Programs, Loyola University Medical CenterFoster G. McGaw HospitalMaywoodUSA

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