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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
    1. Improves renal and hepatic function
    2. Improves pulmonary and cardiac function
    3. Improves intra-abdominal perfusion
    4. 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