To Close or Not to Close, That’s One of the Questions? Perceptions of T.A.C. Surgeons Regarding Open Abdomen Management

Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome

“…Most surgeons arer eluctant to perform al aparotomy in patients who do not meet the complete definition of ACS (31). This was most recently shown in two separate surveys wherethe majority of respondentswould not prophylactically decompress such an abdomen (108,109). This reluctance is further increased in cases of secondary ACS where thereisnoprevious midline incision to easily reopen.…”

Damage control resuscitation: history, theory and technique

“…Despite the increased understanding surrounding this anatomic and physiologic complication, however, it is clear that clinicians require more education with regard to preventing, monitoring and treating all forms of ACS. 55 More specifically, while the incidence of primary ACS (i.e., injury to the torso) has decreased dramatically over the past decade, 51 continued vigilance is crucial to guard against secondary (i.e., resuscitation-induced ACS) and recurrent ACS (i.e., creating an inadequate fascial opening and/or closing the fascia too early in repeat operations).…”