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eISSN: 1643-3750

Open abdomen management: A review of its history and a proposed management algorithm

Barbara E. Kreis, Alexander JC de Mol van Otterloo, Robert W. Kreis

Med Sci Monit 2013; 19:524-533

DOI: 10.12659/MSM.883966

Available online:

Published: 2013-07-03


In this review we look into the historical development of open abdomen management. Its indication has spread in 70 years from intra-abdominal sepsis to damage control surgery and abdominal compartment syndrome. Different temporary abdominal closure techniques are essential to benefit the potential advantages of open abdomen management. Here, we discuss the different techniques and provide a new treatment strategy, based on available evidence, to facilitate more consistent decision making and further research on this complicated surgical topic.

Keywords: History, 21st Century, History, 20th Century, Digestive System Surgical Procedures - methods, Algorithms, Abdominal Wound Closure Techniques, Abdomen - surgery, Negative-Pressure Wound Therapy, Surgical Mesh



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