open abdomen
Intentionally left unrepaired abdominal wall following surgery, requiring temporary closure.
Full Definition
An open abdomen refers to the intentional decision not to close the abdominal fascia following surgery, leaving the abdominal contents temporarily exposed and requiring alternative coverage methods. This approach is used in damage control surgery, severe abdominal sepsis, or when primary closure would result in abdominal compartment syndrome. Management involves temporary closure techniques such as vacuum-assisted closure, mesh, or plastic sheeting. The goal is eventual fascial closure, though this may require multiple operations and complex reconstructive techniques. Open abdomen management significantly impacts patient morbidity and hospital length of stay.
Usage
Usage note: Distinguished from surgical site infection or dehiscence; indicates planned management strategy.
In Context
- "The open abdomen was managed with negative pressure wound therapy to facilitate gradual fascial approximation." — Surgical progress note
- "Due to severe bowel edema, the decision was made to leave an open abdomen rather than risk compartment syndrome." — Operative report