Welcome to openabdomen.org

A resource for surgeons who treat the difficult abdomen. The goal is to improve patient care by helping surgeons understand, utilize and explain causes leading to the need for a PLANNED OPEN ABDOMEN abdomen and also surgical and no surgical teaments.

Overview about management of a planned open abdomen with the Bur Fascia Prosthesis to fascititate reclosure and reopening of tha abdomen and to prevent exogenous contamination between abdominal entries with the Hypopack.

Upper left:
Abdominal transsection showing the fascia prosthesis sutured to both fascial edges and expanding the girth of the abdominal cavity. The BUR is covered with gauze and sealed with a steridrape (Hypopack)

Upper right:
Fascia Prosthesis coverd with gauze and Steridrape and under negative pressure via adrain hooked up to a suction pump.

Lower left:
Removig the hypopack dressing to expose both sheets of the fascia prosthesis. The bur is convex because of higher intra-abdominal pressure

Lower right:
The fascia prosthesis exposed with the hook sheet overpaapping the loop sheet in the mdiline. The bur is convex (protrudes) because of higher intra-abdominal pressure