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Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: Laparostomy: why and when? | Leppăniemi Critical Care 2010 14 216 http ccforum.eom content 14 2 216 CRITICAL CARE REVIEW L_ Laparostomy why and when Ari K Leppaniemi This article is one of ten reviews selected from the Yearbook of Intensive Care and Emergency Medicine 2010 Springer Verlag and co-published as a series in Critical Care. Other articles in the series can be found online at http ccforum series yearbook. Further information about the Yearbook of Intensive Care and Emergency Medicine is available from http www.springer.com series 2855. Introduction Laparostomy is a surgical treatment method in which the peritoneal cavity is opened anteriorly and deliberately left open hence often called open abdomen . The abdominal contents are exposed and protected with a temporary coverage. The term does not include full-thickness abdominal wall defects resulting from partial excision due to tumor or necrotizing infection or incisional hernias. Laparostomy is currently used in many severely ill or injured patients to facilitate healing or prevent complications most notably the development of abdominal compartment syndrome. It is however a morbid procedure with postoperative care that requires good knowledge and skills to prevent even more severe complications. It is also resource intensive often requiring multiple visits to the operating room and extensive nursing care. With improved understanding of the pathophysiology of common abdominal emergencies such as abdominal sepsis severe acute pancreatitis and major abdominal trauma as well as their relation to abdominal compartment syndrome the number of patients with laparostomy can be expected to increase in general and surgical intensive care units. Who started laparostomy In modern times the idea of leaving the abdomen open dates back to the 1970s when patients with septic abdomens were treated with laparostomy in analogy to incision and drainage of an abscess. Similarly to draining an abscess with a large incision and leaving it to heal by .
