Planned Open Abdomen
Most commonly used terms
Listed in historical order they became available:
1985 Etappenlavage (ETL)
1991 Staged Abdominal Repair (STAR)
2001 Damage Control and Repair (DCR)
Benefits of Artificial Bur Closure
- Bridges fascial gap
- No evisceration and no fistulae
- Decreases intra-abdominal pressure
- Improves renal and hepatic function
- Improves pulmonary and cardiac function
- Improves intra-abdominal perfusion
- improves fascial perfusion
- Adjusts in size to change of girth
- Rapid entry and re-entry
- Final fascial closure
- and final skin closure possible after 5th abdominal entry (STAR entry # 5)
Advantages of Planned Opene Abdomen (ETL/STAR/DCR)
- Effective control and elimination of the cause and source of infection
- Effective reduction of bacterial inoculum
- Effective elimination of toxins
- Decreased complications of increased intra-abdominal pressure
- Flexible therapeutic concept
- Timely diagnosis and therapy of complications