Evidence map›Paper›PMID 26213565›Full record

ArticleWorld journal of emergency surgery : WJES2015

The open abdomen, indications, management and definitive closure.

Federico Coccolini, Walter Biffl, Fausto Catena, Marco Ceresoli, Osvaldo Chiara, Stefania Cimbanassi, Luca Fattori, Ari Leppaniemi, Roberto Manfredi, Giulia Montori and 3 more

Open access · goldAbstract read
In one paragraph

Article in World journal of emergency surgery : WJES, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 2 pooled it
10.5field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 2 syntheses or guidelines pooled it, 133 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. The unrestricted global effort to complete the COOL trial.World journal of emergency surgery : WJES · 2023
    Trial
  4. Article
  5. Article
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  8. Article
  9. Article
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  13. Article
  14. Establishment and evaluation of an improved rat model of open abdomen.Animal models and experimental medicine · 2024
    Article
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article

4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 7 institutions in 4 countries.

Federico CoccoliniGeneral Surgery Department, Papa Giovanni XXIII Hospital, Piazza OMS 1, 24127 Bergamo, Italy.
Walter BifflDenver Health Medical Center, Denver, CO USA.
Fausto CatenaGeneral surgery Department, Ospedale Maggiore, Parma, Italy.
Marco CeresoliGeneral Surgery Department, Papa Giovanni XXIII Hospital, Piazza OMS 1, 24127 Bergamo, Italy.
Osvaldo ChiaraNiguarda Trauma Center, Ospedale Niguarda Ca'Granda, Milan, Italy.
Stefania CimbanassiNiguarda Trauma Center, Ospedale Niguarda Ca'Granda, Milan, Italy.
Luca FattoriUnità Operativa di Chirurgia d'Urgenza, Azienda Ospedaliera "San Gerardo", Monza, Italy.
Ari LeppaniemiDepartment of Abdominal Surgery, University of Helsinki, Helsinki, Finland.
Roberto ManfrediGeneral Surgery Department, Papa Giovanni XXIII Hospital, Piazza OMS 1, 24127 Bergamo, Italy.
Giulia MontoriGeneral Surgery Department, Papa Giovanni XXIII Hospital, Piazza OMS 1, 24127 Bergamo, Italy.
Giovanni PesentiUnità Operativa di Chirurgia d'Urgenza, Azienda Ospedaliera "San Gerardo", Monza, Italy.
Michael SugrueLetterkenny Hospital and the Donegal Clinical Research Academy, Donegal, Ireland ; University College Hospital, Galway, Ireland.
Luca AnsaloniGeneral Surgery Department, Papa Giovanni XXIII Hospital, Piazza OMS 1, 24127 Bergamo, Italy.
Ospedale Papa Giovanni XXIII · ITAzienda Ospedaliera San Gerardo · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITLetterkenny University Hospital · IEOspedale Maggiore · ITUniversity of Colorado Denver · USUniversity of Helsinki · FI

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The indications for Open Abdomen (OA) are generally all those situations in which is ongoing the development an intra-abdominal hypertension condition (IAH), in order to prevent the development of abdominal compartmental syndrome (ACS). In fact all those involved in care of a critically ill patient should in the first instance think how to prevent IAH and ACS. In case of ACS goal directed therapy to achieve early opening and early closure is the key: paradigm of closure shifts to combination of therapies including negative pressure wound therapy and dynamic closure, in order to reduce complications and avoid incisional hernia. There have been huge studies and progress in survival of critically ill trauma and septic surgical patients: this in part has been through the great work of pioneers, scientific societies and their guidelines; however future studies and continued innovation are needed to better understand optimal treatment strategies and to define more clearly the indications, because OA by itself is still a morbid procedure.

Indexed as

ClosureManagementOpen abdomenPancreatitisPeritonitisTrauma

Identifiers

PMID26213565
PMCPMC4515003
OpenAlexW1917800670

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.