Laparostomy: A review of current practice
Ashraf SQ., Galland RB.
Laparostomy is the process by which the abdomen is left open. There are multiple indications which include gross sepsis and abdominal compartment syndrome. In these cases, closure of the abdomen would be detrimental. This is due to the cascade of events secondary to sepsis or critical pressure. The creation of laparostomy has obvious impact on hospital resources secondary to prolonged intensive therapy. At present there are different methods available of abdominal closure in laparostomy. These can be broadly classified into definitive or temporary. Laparostomy is certainly here to stay: this article tries to grapple with the problems of exactly when it is indicated and how to manage the open abdomen.