开腹(OA)定义为在剖腹手术(剖腹造口术)后有意决定使腹部筋膜边缘不接近。腹部内容物可能会暴露,因此必须进行临时覆盖保护,这被称为颞部腹部闭合(TAC)。OA的使用仍然存在广泛争议,许多具体细节值得详细评估和澄清。迄今为止,在腹内急症患者中,OA尚未正式批准用于常规使用;尽管,利用率似乎在增加。因此,世界急诊外科学会(WSES),腹部科室协会(WSACS)和DonegalResearchAcademy在一次国际共识会议上联合了一个全球专家组,以审查并提出了在非创伤急诊手术和危重病人中以证据为导向利用OA管理的基础。除了使用建议之外,确定了证据不足,迫切需要进一步研究的问题.
The open abdomen (OA) is defined as intentional decision to leave the fascial edges of the abdomen un-approximated after laparotomy (laparostomy). The abdominal contents are potentially exposed and therefore must be protected with a temporary coverage, which is referred to as temporal abdominal closure (TAC). OA use remains widely debated with many specific details deserving detailed assessment and clarification. To date, in patients with intra-abdominal emergencies, the OA has not been formally endorsed for routine utilization; although, utilization is seemingly increasing. Therefore, the World Society of Emergency Surgery (WSES), Abdominal Compartment Society (WSACS) and the Donegal Research Academy united a worldwide group of experts in an international
consensus conference to review and thereafter propose the basis for evidence-directed utilization of OA management in non-trauma emergency surgery and critically ill patients. In addition to utilization recommendations, questions with insufficient evidence urgently requiring future study were identified.