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The Open Abdomen in Non-traumatic Vascular Emergencies

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Open Abdomen

Part of the book series: Hot Topics in Acute Care Surgery and Trauma ((HTACST))

Abstract

Open abdomen treatment is sometimes necessary to save lives in trauma and non-trauma surgical conditions [1]. The vascular surgeon needs to be aware of the indications for open abdomen therapy (see Chap. 5), zones of injury and exposure of major abdominal vessels (see Chap. 6), and preferable temporary abdominal closure methods in vascular surgery. Besides damage control laparotomy [2] and short-term open abdomen therapy after major vessel trauma with severe bleeding and associated intra-abdominal injuries in the often younger patients, long-term open abdomen therapy is also necessary in the prevention and treatment of abdominal compartment syndrome (ACS) in elderly following repair of ruptured abdominal aortic aneurysms (AAA). Damage control laparotomy or abbreviated laparotomy with second-look laparotomy may also be an advantageous strategy in the management of patients with abdominal catastrophes such as advanced stages of acute mesenteric ischemia (AMI). This chapter deals only with open abdomen in non-traumatic vascular emergencies.

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Conflict of Interest Statement

The authors declare no conflict of interest.

Author information

Authors and Affiliations

  1. Department of Clinical Sciences, Vascular Centre, Lund University, S205 02, Malmö, Sweden

    S. Acosta

  2. Department of Surgical Sciences, Vascular Surgery, Uppsala University, Uppsala, Sweden

    A. Wanhainen & M. Björck

Authors
  1. S. Acosta
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  2. A. Wanhainen
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  3. M. Björck
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Corresponding author

Correspondence to S. Acosta .

Editor information

Editors and Affiliations

  1. General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy

    Federico Coccolini

  2. General Surgery, Virginia Commonvealth University, Richmond, Virginia, USA

    Rao Ivatury

  3. Letterkenny General Hospital, Letterkenny, Donegal, Ireland

    Michael Sugrue

  4. General, Emergency and Trauma Surgery Department, Bufalini Hospital, Cesena, Italy

    Luca Ansaloni

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Acosta, S., Wanhainen, A., Björck, M. (2018). The Open Abdomen in Non-traumatic Vascular Emergencies. In: Coccolini, F., Ivatury, R., Sugrue, M., Ansaloni, L. (eds) Open Abdomen. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-319-48072-5_9

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  • DOI: https://doi.org/10.1007/978-3-319-48072-5_9

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-48071-8

  • Online ISBN: 978-3-319-48072-5

  • eBook Packages: MedicineMedicine (R0)

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