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Damage control surgery (DCS) is standard treatment strategy for severe trauma cases accompanied with deadly triad (bloody vicious cycles) improving survival rate. Appropriate implement of DCS has decreased the mortality, however, serious complications such as ventral hernia (VH), enteroatmospheric fistula (EAF), the cases which is unable to close the abdominal wall have been increased in proportion to increase of abbreviated surgery and open abdomen management (OAM) [1]. Damage control resuscitation (DCR) has reduced the number of cases requiring DCS and mortality, and improved the rate of fascial closure, but there are still some cases which unable to close the abdominal wall closure despite appropriate DCR [2]. In this article, we report 1) temporary abdominal closure method following DCS, 2) key points of OAM for definitive abdominal closure following DCS, 3)various definitive abdominal closure methods for difficult cases of abdominal closure following DCS, 4) surgical treatment guideline in our trauma center for definitive abdominal closure in the OAM following DCS.

journal of acute care surgery

A Feasible Operative Treatment Strategy for Trauma Patient with Difficulties in Closing the Abdomen during Open Abdomen Management (OAM) Following Damage Control Surgery-Secondary Publication