ReviewWorld journal of emergency surgery : WJES2018
The open abdomen in trauma and non-trauma patients: WSES guidelines.
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In one paragraph
Review in World journal of emergency surgery : WJES, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 153 papers, 12 of them syntheses that pooled it.
0numbers the graph read from it
0cells of the map it votes in
153citing papers in PubMed, 12 pooled it
24.2field-weighted citation impact, top 1% of its field
What it found
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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.
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.
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Who cites it
153 citing papers in PubMed, 12 syntheses or guidelines pooled it, 324 citations in OpenAlex.
- FasciotensHernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Clinical outcomes in abdominal wall autologous flap reconstruction: a systematic review.Hernia : the journal of hernias and abdominal wall surgery · 2026Pooled it
- Contemporary management of the open abdomen: standards, challenges, and future directions.Langenbeck's archives of surgery · 2026Pooled it
- Timing of planned reoperation after damage control surgery in patients with trauma: a systematic review and meta-analysis.World journal of emergency surgery : WJES · 2025Pooled it
- Guidelines for Enhanced Recovery After Trauma and Intensive Care (ERATIC): Enhanced Recovery After Surgery (ERAS) and International Association for Trauma Surgery and Intensive Care (IATSIC) Society Recommendations: Paper 2: Postoperative and Intensive Care Recommendations.World journal of surgery · 2025Guideline
- Is there a role for botulinum toxin A in the emergency setting for delayed abdominal wall closure in the management of the open abdomen? A systematic review.Annals of the Royal College of Surgeons of England · 2023Pooled it
- Negative pressure wound therapy for managing the open abdomen in non-trauma patients.The Cochrane database of systematic reviews · 2022Pooled it
- 2020 WSES guidelines for the detection and management of bile duct injury during cholecystectomy.World journal of emergency surgery : WJES · 2021Guideline
- The role of damage control surgery in the treatment of perforated colonic diverticulitis: a systematic review and meta-analysis.International journal of colorectal disease · 2021Pooled it
- The management of surgical patients in the emergency setting during COVID-19 pandemic: the WSES position paper.World journal of emergency surgery : WJES · 2021Guideline
- Timing of surgical intervention for compartment syndrome in different body region: systematic review of the literature.World journal of emergency surgery : WJES · 2020Pooled it
- Dynamic Fascial Closure With Vacuum-Assisted Wound Closure and Mesh-Mediated Fascial Traction (VAWCM) Treatment of the Open Abdomen-An Updated Systematic Review.Frontiers in surgery · 2020Pooled it
- Bioelectrical impedance analysis-guided fluid management promotes primary fascial closure after open abdomen: a randomized controlled trial.Military Medical Research · 2021Trial
- Ethical considerations in conducting surgical research in severe complicated intra-abdominal sepsis.World journal of emergency surgery : WJES · 2019Trial
- [Visceral surgery in mass casualty incidents due to disasters, crises and war].Chirurgie (Heidelberg, Germany) · 2026Review
- Strengthening trauma care in low- and middle-income countries through guideline adaptation and scalable system reforms.World journal of methodology · 2026Review
- Damage control surgery and open abdomen in Hinchey III-IV acute diverticulitis: current practice from a nationwide Italian survey.Updates in surgery · 2026Article
- Serial Bogota bag tightening: A pragmatic advance in open abdomen management for resource-limited settings.World journal of gastrointestinal pharmacology and therapeutics · 2026Article
- Open abdomen negative pressure wound therapy for intractable hemorrhage in advanced abdominal pregnancy: a case report.Case reports in women's health · 2026Article
- Current Therapy and Short-Term Results of Open Abdominal Management Among Non-trauma Patients.Cureus · 2026Article
93 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
74 authors at 20 institutions in 25 countries.
Federico Coccolini1General Emergency and Trauma Surgery, Bufalini Hospital, Viale Giovanni Ghirotti, 286, 47521 Cesena, Italy.
Derek Roberts2Department of Surgery, Foothills Medical Centre, Calgary, Canada.
Luca Ansaloni1General Emergency and Trauma Surgery, Bufalini Hospital, Viale Giovanni Ghirotti, 286, 47521 Cesena, Italy.
Rao Ivatury3Virginia Commonwealth University, Richmond, VA USA.
Emiliano Gamberini4ICU Department, Bufalini Hospital, Cesena, Italy.
Yoram Kluger5Division of General Surgery, Rambam Health Care Campus, Haifa, Israel.
Ernest E Moore6Trauma Surgery, Denver Health, Denver, CO USA.
Raul Coimbra7Department of Surgery, UC San Diego Health System, San Diego, USA.
Andrew W Kirkpatrick2Department of Surgery, Foothills Medical Centre, Calgary, Canada.
Bruno M Pereira8Faculdade de Ciências Médicas (FCM)-Unicamp Campinas, Campinas, SP Brazil.
Giulia Montori1General Emergency and Trauma Surgery, Bufalini Hospital, Viale Giovanni Ghirotti, 286, 47521 Cesena, Italy.
Marco Ceresoli1General Emergency and Trauma Surgery, Bufalini Hospital, Viale Giovanni Ghirotti, 286, 47521 Cesena, Italy.
Fikri M Abu-Zidan9Department of Surgery, College of Medicine and Health Sciences, UAE University, Al-Ain, United Arab Emirates.
Massimo SartelliDepartment of Surgery, Macerata Hospital, Macerata, Italy.
George Velmahos11Department of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital, Boston, MA USA.
Gustavo Pereira Fraga8Faculdade de Ciências Médicas (FCM)-Unicamp Campinas, Campinas, SP Brazil.
Ari LeppaniemiSecond Department of Surgery, Meilahti Hospital, Helsinki, Finland.
Matti TolonenSecond Department of Surgery, Meilahti Hospital, Helsinki, Finland.
Joseph Galante13Trauma and Acute Care Surgery and Surgical Critical Care Trauma, Department of Surgery, University of California, Davis, USA.
Tarek Razek14General and Emergency Surgery, McGill University Health Centre, Montréal, QC Canada.
Ron MaierDepartment of Surgery, Harborview Medical Centre, Seattle, USA.
Miklosh Bala16General Surgery Department, Hadassah Medical Centre, Jerusalem, Israel.
Boris SakakushevFirst Clinic of General Surgery, University Hospital/UMBAL/St George Plovdiv, Plovdiv, Bulgaria.
Vladimir KhokhaGeneral Surgery, Mozir Hospital, Mozir City, Belarus.
Manu MalbrainICU and High Care Burn Unit, Ziekenhius Netwerk Antwerpen, Antwerpen, Belgium.
Vanni Agnoletti4ICU Department, Bufalini Hospital, Cesena, Italy.
Andrew Peitzman20Department of Surgery, Trauma and Surgical Services, University of Pittsburgh School of Medicine, Pittsburgh, USA.
Zaza DemetrashviliDepartment of Surgery, Tbilisi State Medical University, Kipshidze Central University Hospital, Tbilisi, Georgia.
Michael SugrueGeneral Surgery Department, Letterkenny Hospital, Letterkenny, Ireland.
Salomone Di Saverio23Addenbrooke's Hospital, Cambridge, UK.
Ingo Martzi24Klinik für Unfall-, Hand- und Wiederherstellungschirurgie Universitätsklinikum Goethe-Universität Frankfurt, Frankfurt, Germany.
Kjetil Soreide25Department of Clinical Medicine, University of Bergen, Bergen, Norway.
Walter Biffl27Acute Care Surgery, The Queen's Medical Center, Honolulu, HI USA.
Paula Ferrada3Virginia Commonwealth University, Richmond, VA USA.
Neil Parry28General and Trauma Surgery Department, London Health Sciences Centre, Victoria Hospital, London, ON Canada.
Philippe Montravers29Département d'Anesthésie-Réanimation, CHU Bichat Claude-Bernard-HUPNVS, Assistance Publique-Hôpitaux de Paris, University Denis Diderot, Paris, France.
Rita Maria Melotti30ICU Department, Sant'Orsola-Malpighi University Hospital, Bologna, Italy.
Francesco Salvetti1General Emergency and Trauma Surgery, Bufalini Hospital, Viale Giovanni Ghirotti, 286, 47521 Cesena, Italy.
Tino M Valetti31ICU Department, Papa Giovanni XXIII Hospital, Bergamo, Italy.
Thomas Scalea32Surgery Department, University of Maryland School of Medicine, Baltimore, MD USA.
Osvaldo Chiara33Emergency and Trauma Surgery Department, Niguarda Hospital, Milano, Italy.
Stefania Cimbanassi33Emergency and Trauma Surgery Department, Niguarda Hospital, Milano, Italy.
Jeffry L Kashuk34General Surgery Department, Assuta Medical Centers, Tel Aviv, Israel.
Martha LarreaGeneral Surgery, "General Calixto García", Habana Medicine University, Havana, Cuba.
Juan Alberto Martinez HernandezGeneral Surgery, Medical Faculty "General Calixto Garcia", Habana Medicine University, Havana, Cuba.
Heng-Fu LinDivision of Trauma, Department of Surgery, Far-Eastern Memorial Hospital, New Taipei City, Taiwan, Republic of China.
Mircea Chirica38Clin. Univ. de Chirurgie Digestive et de l'Urgence, CHUGA-CHU Grenoble Alpes UGA-Université Grenoble Alpes, Grenoble, France.
Catherine Arvieux38Clin. Univ. de Chirurgie Digestive et de l'Urgence, CHUGA-CHU Grenoble Alpes UGA-Université Grenoble Alpes, Grenoble, France.
Camilla BingGeneral and Emergency Surgery Department, Empoli Hospital, Empoli, Italy.
Tal Horer40Department of Cardiothoracic and Vascular Surgery, Örebro University Hospital and Örebro University, Orebro, Sweden.
Belinda De SimoneGeneral Surgery, Perpignan Hospital, Perpignan, France.
Peter Masiakos42Pediatric Trauma Service, Massachusetts General Hospital, Boston, MA USA.
Viktor RevaGeneral and Emergency Surgery, Sergei Kirov Military Academy, Saint Petersburg, Russia.
Nicola DeAngelis44Unit of Digestive Surgery, HPB Surgery and Liver Transplant, Henri Mondor Hospital, Créteil, France.
Kaoru Kike45Department of Primary Care and Emergency Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.
Zsolt J Balogh46Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, NSW Australia.
Paola Fugazzola1General Emergency and Trauma Surgery, Bufalini Hospital, Viale Giovanni Ghirotti, 286, 47521 Cesena, Italy.
Matteo Tomasoni1General Emergency and Trauma Surgery, Bufalini Hospital, Viale Giovanni Ghirotti, 286, 47521 Cesena, Italy.
Rifat Latifi47General Surgery Department, Westchester Medical Center, Westchester, NY USA.
Noel Naidoo48Department of Surgery, University of KwaZulu-Natal, Durban, South Africa.
Dieter Weber49Department of General Surgery, Royal Perth Hospital, The University of Western Australia & The University of Newcastle, Perth, Australia.
Lauri Handolin50Trauma Unit, Helsinki University Hospital, Helsinki, Finland.
Kenji Inaba51Division of Trauma and Critical Care, LAC+USC Medical Center, University of Southern California, California, Los Angeles USA.
Andreas HeckerGeneral and Thoracic Surgery, Giessen Hospital, Giessen, Germany.
Yuan Kuo-Ching53Acute Care Surgery and Traumatology, Taipei Medical University Hospital, Taipei City, Taiwan, Republic of China.
Carlos A Ordoñez54Trauma and Acute Care Surgery, Fundacion Valle del Lili, Cali, Colombia.
Sandro Rizoli55Trauma and Acute Care Service, St Michael's Hospital, Toronto, ON Canada.
Carlos Augusto GomesHospital Universitário Terezinha de Jesus, Faculdade de Ciências Médicas e da Saúde de Juiz de Fora (SUPREMA), Juiz de Fora, Brazil.
Marc De MoyaTrauma, Acute Care Surgery, Medical College of Wisconsin/Froedtert Trauma Center, Milwaukee, WI USA.
Imtiaz Wani58Department of Surgery, Sheri-Kashmir Institute of Medical Sciences, Srinagar, India.
Alain Chichom Mefire59Department of Surgery and Obs/Gyn, Faculty of Health Sciences, University of Buea, Buea, Cameroon.
Ken Boffard60Milpark Hospital Academic Trauma Center, University of the Witwatersrand, Johannesburg, South Africa.
Lena Napolitano61Acute Care Surgery, Department of Surgery, University of Michigan Health System, Ann Arbor, MI USA.
Fausto CatenaEmergency and Trauma Surgery, Parma Maggiore Hospital, Parma, Italy.
Ospedale “M. Bufalini” di Cesena · ITAzienda Socio Sanitaria Territoriale Grande Ospedale Metropolitano Niguarda · ITCentre Hospitalier Universitaire de Grenoble · FRFoothills Medical Centre · CAHerttoniemi Hospital · FIMassachusetts General Hospital · USVirginia Commonwealth University · USAddenbrooke's Hospital · GBAssuta Medical Center · ILAzienda Unità Sanitaria Locale 11 di Empoli · ITCentre Hospitalier de Perpignan · FRDenver Health Medical Center · USFar Eastern Memorial Hospital · TWFroedtert Hospital · USFundación Valle del Lili · COGoethe University Frankfurt · DEHadassah Medical Center · ILHarborview Medical Center · USHelsinki University Hospital · FIHôpitaux Universitaires Henri-Mondor · FR
Funding
No grant is acknowledged in the PubMed record.
Abstract
Damage control resuscitation may lead to postoperative intra-abdominal hypertension or abdominal compartment syndrome. These conditions may result in a vicious, self-perpetuating cycle leading to severe physiologic derangements and multiorgan failure unless interrupted by abdominal (surgical or other) decompression. Further, in some clinical situations, the abdomen cannot be closed due to the visceral edema, the inability to control the compelling source of infection or the necessity to re-explore (as a "planned second-look" laparotomy) or complete previously initiated damage control procedures or in cases of abdominal wall disruption. The open abdomen in trauma and non-trauma patients has been proposed to be effective in preventing or treating deranged physiology in patients with severe injuries or critical illness when no other perceived options exist. Its use, however, remains controversial as it is resource consuming and represents a non-anatomic situation with the potential for severe adverse effects. Its use, therefore, should only be considered in patients who would most benefit from it. Abdominal fascia-to-fascia closure should be done as soon as the patient can physiologically tolerate it. All precautions to minimize complications should be implemented.
Indexed as
Guidelines as TopicAbdomenAbdominal CavityAbdominal Wound Closure TechniquesHumansIntra-Abdominal HypertensionNegative-Pressure Wound TherapyPostoperative ComplicationsProphylactic Surgical ProceduresResuscitationBiologicalClosureFistulaGuidelinesIntra-abdominal infectionLaparostomyMeshNon-traumaNutritionOpen abdomenPancreatitisPeritonitisRe-explorationReinterventionSyntheticTechniqueTimingTraumaVascular emergencies
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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.