The open abdomen management technique is the intentional creation of an open abdomen, leaving the fascial edges of the abdomen unapproximated. This technique allows a damaged or edematous viscera to expand, reducing intra-abdominal pressure (IAP) and related complications, and can help achieve primary fascial closure as early as clinically feasible.12
Key features for a temporary abdominal closure to manage an open abdomen include23
Decrease bowel edema
Protect the viscera, fascia, and skin
Minimize fascial retraction and loss of domain
Facilitate primary fascial closure
The Science Behind Our Products
Our solutions are built on a deep understanding of wound healing, supported by a large body of clinical evidence
Clinical research has shown that removing potentially detrimental peritoneal fluid and achieving primary fascial closure are important goals when managing patients who require an open abdomen for the treatment of critical illness.4
The method of a temporary abdominal closure may play an important role in positive clinical and economic outcomes.5678910
In a twenty-center observational prospective study comparing ABTHERA™ Open Abdomen Negative Pressure Therapy to Barker’s vacuum-packing technique in trauma and surgical patients, ABTHERA™ Therapy was associated with a significantly improved 30-day primary fascial closure rate, and a 30-day all cause mortality rate (p=0.03 and 0.01, respectively). It was also associated with a reduction in length of stay.5
Explore Products for Open Abdomen Management
Take Control Early
ABTHERA™ Open Abdomen Negative Pressure Therapy offers a solution to take control early when managing an open abdomen and helps achieve primary fascial closure.
1. Huang Q, Li J, Lau W. Techniques for Abdominal Wall Closure after Damage Control Laparotomy: From Temporary Abdominal Closure to Early/Delayed Fascial Closure—A Review. Gastroenterology Research and Practice. 2016;2016:2073260. doi:10.1155/2016/2073260.
2. Fitzpatrick ER. Open abdomen in trauma and critical care. Crit Care Nurse. 2017 Oct;37(5):22-45.
3. Vertrees A, Shriver CD, Salim A. To close or not to close: managing the open abdomen. In: Martin M, Beekley A, Eckert M (eds) Front Line Surgery. Springer, Cham, 2017: 203-220.
4. Cheatham ML, Safcsak K. Is the evolving management of intra-abdominal hypertension and abdominal compartment syndrome improving survival? Crit Care Med 2010;38:402-407.
5. Cheatham ML, Demetriades D, Fabian TC, et al. Prospective Study Examining Clinical Outcomes Associated with a Negative Pressure Wound Therapy System and Barker’s Vacuum Packing Technique. World Journal of Surgery. 2013 September; 37(9):2018-2030.
6. Franklin ME, Alvarez A, Russek K. Negative Pressure Therapy: A Viable Option for General Surgical Management of the Open Abdomen. Surgical Infections 2012 December 1;19(4):353-63.
7. Frazee RC, Abernathy SW, Jupiter DC, et al. Are commercial negative pressure systems worth the cost in open abdomen management? J Am Coll Surg. 2013; 216:730-733.
8. Atema JJ, Gans SL, Boermeester MA. Systematic review and meta-analysis of the open abdomen and temporary abdominal closure techniques in non-trauma patients. World Journal of Surgery. 2015 April; 39(4):912-925.
9. Kirkpatrick AW, Roberts DJ, Faris PD, et al. Active negative pressure therapy after abbreviated laparotomy: the intraperitoneal vacuum randomized controlled trial. J Annals of Surg. 2015 July; 262(1):38-46.
10. Safcsak K, Cheatham ML. ABTHERA Open Abdomen Negative Pressure System versus Barker’s Vacuum Pack Technique: analysis of resource utilization. (Presented at the Fifth World Congress on the Abdominal Compartment Syndrome, August 10-13, 2011, Orlando, FL) [abstract] Safcsak K, Cheatham ML. Am Surg 2011;77:S106
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