Abstract

RAMIREZ-MENDEZ, Laura Natalia; VEGA-PENA, Neil Valentín  and  DOMINGUEZ-TORRES, Luis Carlos. Open abdomen and early closure of the abdominal wall. rev. colomb. cir. [online]. 2021, vol.36, n.3, pp.520-530.  Epub July 18, 2021. ISSN 2011-7582.  https://doi.org/10.30944/20117582.749.

The open abdomen is a therapeutic option in critically ill patients. It is used when the closure of the abdominal cavity cannot or should not be performed. However, its usefulness as part of a traditionally accepted strategy has diminished, as sequelae in the abdominal wall, especially ventral hernia, have increased. The procedures required for the anatomical and functional reconstruction of the abdominal wall, as part of the treatment of a ventral hernia, are highly complex and constitute a new surgical scenario. Likewise, they lead to uncertainty regarding their nature and possible complications, in addition to conditioning higher expenses for the health system. To avoid the problems of delayed closure of the abdominal wall, alternatives have been developed to overcome the traditional “try and wait” approach to “treat and reconstruct” early. The objective of this review is to describe the main advances in the treatment of the open abdomen and the role of early closure of the abdominal wall, emphasizing the importance of a conceptual change in it.

Keywords : abdominal wall; ventral hernia; incisional hernia; open abdomen techniques; abdominal wall reconstruction; surgical mesh.

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