Hu LH, Sandoval VJ, Castro ÁJP, Ayi WJA

Language: Spanish
References: 11
Page: 11-24
PDF size: 711.50 Kb.

ABSTRACT

Several challenging clinical situations may need leaving the abdominal cavity open after surgery, resulting in an open abdomen (OA) or laparostomy.The indications for Open Abdomen are: trauma, abdominal sepsis, severe acute pancreatitis, and other situations where an increase in intraabdominal pressure will develop intraabdominal hypertension, and abdominal compartment syndrome. The World Society of the Abdominal Compartment Syndrome (WSACS) defines intraabdominal hypertension as an intraabdominal pressure (IAP) higher than 12mmHg, and can develop into abdominal compartment syndrome when IAP is higher than 20mmHg. The WSACS advocates the use of the modified Kron technique as the gold standard of IAP measurement. The Kron method assesses the IAP via bladder pressure measurement, using a maximum instillation of 25 ml of sterile saline solution. The need for temporary abdominal closure (TAC) is a logical consequence of abdominal decompression or prophylactic open abdomen treatment. With the increasing adoption of open abdomen techniques, there has been an increase demand for TAC. Negative pressure wound therapy (NPWT) involves applying some level of suction to an open abdominal wound.

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