Techniques for Abdominal Wall Closure after Damage Control Laparotomy: From Temporary Abdominal Closure to Early/Delayed Fascial Closure—A Review
Table 1
Definitions of common terms.
Terms
Definitions
Intra-abdominal hypertension
Sustained or repeated pathologic elevation of IAP 12 mmHg or greater
ACS (abdominal compartment syndrome)
Sustained IAP greater than 20 mmHg with evidence of new-onset end organ dysfunction or failure
Primary ACS
ACS occurring in the context of abdominal injury
Secondary ACS
ACS occurring without the presence of intra-abdominal injury
DCS (damage control surgery)
Abbreviated laparotomy performed on a critically ill patient aiming to stop major hemorrhage and/or control infectious sources before stabilization of the patient in a critical care unit
Early fascial closure
Fascia-to-fascia closure of abdominal defect with or without prosthetic repair material within 7 days of open abdomen
Delayed fascial closure
Fascia-to-fascia closure after 8 days of open abdomen, usually within the initial hospitalization
Planned ventral hernia
An open abdominal wound that is allowed to granulate and covered with a skin graft before patient discharge from hospital with an intention to perform definitive repair in 6 to 12 months