Practical approach to patient with a hostile abdomen

Rifat - Latifi, Ari Leppäniemi

Research output: Chapter in Book/Report/Conference proceedingChapter

1 Scopus citations

Abstract

Despite significant advances in surgical techniques and in approaches to surgical diseases, the timing of reoperative surgery, particularly in patients with a visibly hostile abdomen, is unclear. Reoperative surgery in such patients is challenging and requires significant resources, both surgical and financial, and therefore careful planning; it should be individualized (i.e., tailored) for each patient and each condition. In the absence of objective data and randomized studies and in the face of an ever-increasing number of patients’ requests to be “fixed,” the surgeon has to rely on personal expertise and, often, gut feeling. Clearly, open and active communication among the surgical team, the patient, and the patient’s family is the key. Everyone should fully understand the need for complex abdominal wall reconstruction. The patient's motivations must be sound, with realistic goals and expectations regarding the outcome and with a thorough understanding of possible complications.

Original languageEnglish (US)
Title of host publicationSurgery of Complex Abdominal Wall Defects
PublisherSpringer New York
Pages67-74
Number of pages8
ISBN (Print)9781461463542, 9781461463535
DOIs
StatePublished - Jan 1 2013

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Keywords

  • Adhesions
  • Complex abdominal wall defect
  • Enteroatmospheric fistulas
  • Enterocutaneous fistulas
  • Frozen abdomen
  • Hostile abdomen
  • Nutrition support
  • Reoperative surgery

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Latifi, R. ., & Leppäniemi, A. (2013). Practical approach to patient with a hostile abdomen. In Surgery of Complex Abdominal Wall Defects (pp. 67-74). Springer New York. https://doi.org/10.1007/978-1-4614-6354-2_9