TY - JOUR
T1 - Management strategies for the open abdomen
T2 - Survey of the american association for the surgery of trauma membership
AU - MacLean, A. A.
AU - O'Keeffe, T.
AU - Augenstein, J.
PY - 2008/4
Y1 - 2008/4
N2 - Purpose: The purpose of this study is to report results from a survey of members of the American Association for the Surgery of Trauma (AAST) on strategies for management of the open abdomen. Material and methods: Invitations to participate in a web-based survey were sent to AAST members via email. Main results: The response rate was 26%. For 74% of surgeons surveyed, the number of cases treated per year has increased over the last 10 years. The abdomen is left open for damage control (46% of respondents) and abdominal organ distention (22%). Most respondents use the vacuum pack system to temporarily close the abdomen (57%) and a smaller proportion use a bogota bag (18%). Ventilatory failure was the most frequent complication (72%) and elderly patients have the worse outcome. Significant conclusions: Given the lack of consensus regarding optimal management strategies for the open abdomen, there is a need for prospective, multi-institutional studies to evaluate therapeutic approaches to treat this challenging problem.
AB - Purpose: The purpose of this study is to report results from a survey of members of the American Association for the Surgery of Trauma (AAST) on strategies for management of the open abdomen. Material and methods: Invitations to participate in a web-based survey were sent to AAST members via email. Main results: The response rate was 26%. For 74% of surgeons surveyed, the number of cases treated per year has increased over the last 10 years. The abdomen is left open for damage control (46% of respondents) and abdominal organ distention (22%). Most respondents use the vacuum pack system to temporarily close the abdomen (57%) and a smaller proportion use a bogota bag (18%). Ventilatory failure was the most frequent complication (72%) and elderly patients have the worse outcome. Significant conclusions: Given the lack of consensus regarding optimal management strategies for the open abdomen, there is a need for prospective, multi-institutional studies to evaluate therapeutic approaches to treat this challenging problem.
KW - Abdominal compartment syndrome
KW - Damage control laparotomy
KW - Open abdomen
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U2 - 10.1080/00015458.2008.11680206
DO - 10.1080/00015458.2008.11680206
M3 - Article
C2 - 18557146
AN - SCOPUS:43749120267
SN - 0001-5458
VL - 108
SP - 212
EP - 218
JO - Acta Chirurgica Belgica
JF - Acta Chirurgica Belgica
IS - 2
ER -