Open abdomen in trauma patients: a double-edged sword

Yu-hua Huang; You-sheng Li

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Open abdomen in trauma patients: a double-edged sword

PERSPECTIVE | Updated：2026-03-12

- Open abdomen in trauma patients: a double-edged sword
- Military Medical Research Vol. 3, Issue 2, Pages: 59-65(2016)
- Affiliations：
  
  Department of General Surgery, Jinling Hospital, School of Medicine, Nanjing University, 305 East Zhongshan Road, Nanjing 210002, China
- Author bio：
  
  *: liys@medmail.com.cn
- Funds：
- DOI：
  CLC：
- Published：2016-06
- Accepted：
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Yu-hua Huang, You-sheng Li. Open abdomen in trauma patients: a double-edged sword[J]. Military Medical Research, 2016, 3(2): 59-65.
DOI：

Yu-hua Huang, You-sheng Li. Open abdomen in trauma patients: a double-edged sword[J]. Military Medical Research, 2016, 3(2): 59-65. DOI：

摘要

Abstract

The use of open abdomen (OA) as a technique in the treatment of exsanguinating trauma patients was first described in the mid-19th century. Since the 1980s

OA has become a relatively new and increasingly common strategy to manage massive trauma and abdominal catastrophes. OA has been proven to help reduce the mortality of trauma. Nevertheless

the OA method may be associated with terrible and devastating complications such as enteroatmospheric fistula (EAF). As a result

OA should not be overused

and attention should be given to critical care as well as special management. The temporary abdominal closure (TAC) technique after abbreviated laparotomy was used to improve wound healing and facilitate final fascial closure of OA. Negative pressure therapy (NPT) is the most commonly used TAC method.

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Keywords

references

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