26.12.2014 Views

Ari Leppäniemi Managing the open abdomen

Ari Leppäniemi Managing the open abdomen

Ari Leppäniemi Managing the open abdomen

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Short- and dlong term aims in <strong>open</strong><br />

<strong>abdomen</strong><br />

- short-term aims (temporary abdominal closure)<br />

- close <strong>the</strong> “catabolic drain” of <strong>the</strong> <strong>open</strong> <strong>abdomen</strong><br />

- protect <strong>the</strong> viscera, prevent/manage fistulas<br />

- prevent bowel and fascial adherence<br />

- enable future fascial (and skin) closure<br />

- long-term aims<br />

- intact skin cover<br />

- fascial closure at midline, if possible<br />

- good functional outcome<br />

- no pain, good cosmetic result

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