Review Article

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.

TermsDefinitions

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 ACSACS occurring in the context of abdominal injury
Secondary ACSACS 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 closureFascia-to-fascia closure of abdominal defect with or without prosthetic repair material within 7 days of open abdomen
Delayed fascial closureFascia-to-fascia closure after 8 days of open abdomen, usually within the initial hospitalization
Planned ventral herniaAn 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