The open abdomen - Part 2: Management of the open abdomen using temporary abdominal closure

Abstract

Management of the open abdomen is a complex undertaking, as it not only involves difficult wound healing but also the prevention of many serious local and systemic complications. In this article the different types of temporary wound closure methods and their pros and cons are discussed. It appears from our experience that specific negative-pressure dressings produce the best outcomes with regard to morbidity and mortality, as they are adapted to address the particular needs of different grades of open abdomen.