Publication details
Brušné katastrofy výzva pre chirurga
| Title in English | Open abdomen challange for surgeon |
|---|---|
| Authors | |
| Year of publication | 2024 |
| Type | Requested lectures |
| MU Faculty or unit | |
| Citation | |
| Description | The open abdomen challenge refers to the complex and often difficult clinical situation in which a patient's abdomen cannot be closed following surgery, typically due to severe abdominal trauma, infection, or other critical conditions that prevent safe closure. In such cases, the abdomen is left open temporarily to allow for ongoing monitoring, drainage, and management of underlying issues. This strategy can pose significant challenges for both the patient and the surgical team, as it increases the risk of complications, including infection, fluid loss, and organ dysfunction. One of the key management techniques in the open abdomen scenario is the use of Negative Pressure Wound Therapy (NPWT), also known as vacuum-assisted closure (VAC) therapy. NPWT has become a standard approach for managing open abdomen wounds, offering several benefits that can help in the healing process and improve patient outcomes. The Open Abdomen Challenge in Surgery An open abdomen is typically managed after surgeries such as: Abdominal trauma surgery (e.g., after major blunt or penetrating trauma). Severe peritonitis or infection (such as from bowel perforation or abscesses). Massive intra-abdominal hemorrhage (when there is ongoing bleeding that cannot be controlled). Intra-abdominal compartment syndrome (where increased pressure within the abdomen endangers vital organs). Leaving the abdomen open is not ideal, but in certain cases, it may be necessary to allow time for swelling to subside, control infection, or provide the necessary interventions to stabilize the patient. The risk of abdominal compartment syndrome, where increased intra-abdominal pressure can impair circulation to vital organs, is a significant concern that may necessitate leaving the abdomen open in the first place.The open abdomen challenge is a complex surgical problem that requires careful management, and Negative Pressure Wound Therapy (NPWT) has become a vital tool in improving outcomes for these patients. By reducing intra-abdominal pressure, promoting wound healing, preventing infection, and facilitating the eventual closure of the abdomen, NPWT plays a key role in managing patients with open abdominal wounds. However, its use must be carefully monitored, and the patient’s overall clinical condition must guide the decision-making process regarding NPWT and other treatments. |
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