“Acute postoperative open abdominal wall”: Nosological concept and treatment implications  

作　　者：Manuel López-Cano José A Pereira Manuel Armengol-Carrasco 

机构地区：[1]Abdominal Wall Surgery Unit, Department of General Surgery, Hospital Universitari Vall d’Hebrón, Universitat Autònoma de Barcelona [2]Department of General and Digestive Surgery,Parc de Salut Mar, Universitat Autònoma de Barcelona [3]Department of Health and Experimental Sciences, Universitat Pompeu Fabra

出　　处：《World Journal of Gastrointestinal Surgery》2013年第12期314-320,共7页世界胃肠外科杂志（英文版）（电子版）

摘　　要： The so-called 'burst abdomen' has been described for many years and is a well-known clinical condition, whereas the concept of the 'open abdomen' is relatively new. In clinical practice, both nosological entities are characterized by a complex spectrum of symptoms apparently disconnected, which in many cases poses a great challenge for surgical repair. In order to assess the management of these disorders in a more comprehensive and integral fashion, the concept of 'acute postoperative open abdominal wall'(acute POAW) is presented, which in turn can be divided into 'intentional' or planned acute POAW and 'unintentional' or unplanned POAW. The understanding of the acute POAW as a single clinical process not only allows a better optimization of the ther-apeutic approach in the surgical repair of abdominal wallrelated disorders, but also the stratification and collection of data in different patient subsets, favoring a better knowledge of the wide spectrum of conditions involved in the surgical reconstruction of the abdominal wall.The so-called "burst abdomen" has been described for many years and is a well-known clinical condition, whereas the concept of the "open abdomen" is relatively new. In clinical practice, both nosological entities are characterized by a complex spectrum of symptoms apparently disconnected, which in many cases poses a great challenge for surgical repair. In order to assess the management of these disorders in a more comprehensive and integral fashion, the concept of "acute postoperative open abdominal wall"(acute POAW) is presented, which in turn can be divided into "intentional" or planned acute POAW and "unintentional" or unplanned POAW. The understanding of the acute POAW as a single clinical process not only allows a better optimization of the ther-apeutic approach in the surgical repair of abdominal wallrelated disorders, but also the stratification and collection of data in different patient subsets, favoring a better knowledge of the wide spectrum of conditions involved in the surgical reconstruction of the abdominal wall.

关 键 词：Burst ABDOMEN OPEN ABDOMEN EVISCERATION Abdominal wall Mesh Negative pressure wound therapy INCISIONAL HERNIA Enteroatmospheric FISTULA 

分 类 号：R656.3[医药卫生—外科学]