Document Type

Article

Publication Date

1-2021

Identifier

Bookshelf ID: NBK564378

Abstract

Critically ill patients with underlying intraabdominal hypertension due to sepsis or injury are often managed with a damage control laparotomy (DCL), which involves the minimum intervention necessary to save the patient’s life. In order to save time, the abdomen may be left open to facilitate a second look to confirm the control of bleeding or sepsis before fascial closure. In the interim, some patients will develop bowel and abdominal wall edema with a high-volume resuscitation, especially if the crystalloid fluid is used primarily.

The many causes and management of intraabdominal hypertension as well as the indications for a damage control laparotomy are discussed in other topics. Here we focus on the temporary techniques that are used to hold the abdomen together, ways to facilitate eventual fascial closure, and the complications of these techniques. Other topics will describe the eventual reconstruction of the abdominal wall when the fascia cannot be closed.

Journal Title

StatPearls

Comments

Last updated: Jan. 2021

This book is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits use, duplication, adaptation, distribution, and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, a link is provided to the Creative Commons license, and any changes made are indicated.

NCBI Bookshelf: https://www.ncbi.nlm.nih.gov/books/NBK564378/

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