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Management and treatment options for patients with open abdomen

Gurusamy, K; Davidson, B; (2016) Management and treatment options for patients with open abdomen. Nursing Standard , 30 (20) pp. 51-60. 10.7748/ns.30.20.51.s48.

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Abstract

Abdominal sepsis and trauma are the main indications for open abdomen. However, there is no robust evidence that open abdomen is better than closed in these cases. When using open abdomen, treatment goals are to control the source of infection, protect the bowel from damage, minimise adhesions between the bowel and abdominal wall, facilitate nursing care and allow permanent closure of the wound by bringing the fascial edges closer. Several temporary abdominal closure techniques exist, but are associated with high mortality and morbidity rates. There is no evidence that any specific temporary abdominal closure technique is better than others; however, negative pressure wound therapy appears to be a popular method of management of open abdomen.

Type: Article
Title: Management and treatment options for patients with open abdomen
Location: England
DOI: 10.7748/ns.30.20.51.s48
Publisher version: http://dx.doi.org/10.7748/ns.30.20.51.s48
Language: English
Additional information: Copyright © 2016 RCN Publishing Company Ltd.
Keywords: Abdominal sepsis, abdominal trauma, laparostomy, negative pressure wound therapy, open abdomen, planned relaparotomy, temporary abdominal closure
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Surgical Biotechnology
URI: https://discovery.ucl.ac.uk/id/eprint/1476968
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