IROA: the International Register of Open Abdomen.

Federico Coccolini,Rao Ivatury,Luca Ansaloni,Marco Ceresoli,Walter Biffl,James Whelan,Gabriela Elisa Nita,Massimo Sartelli,Ernest E Moore,Giulia Montori,Fausto Catena,Roberto Manfredi,Salomone Di Saverio,Ari Leppaniemi,Gustavo Fraga

doi:10.1186/s13017-015-0029-2

Abstract

Actually the most common indications for Open Abdomen (OA) are trauma, abdominal sepsis, severe acute pancreatitis and more in general all those situations in which an intra-abdominal hypertension condition is present, in order to prevent the development of an abdominal compartment syndrome. The mortality and morbidity rate in patients undergone to OA procedures is still high. At present many studies have been published about the OA management and the progresses in survival rate of critically ill trauma and septic surgical patients. However several issues are still unclear and need more extensive studies. The definitions of indications, applications and methods to close the OA are still matter of debate. To overcome this lack of high level of evidence data about the OA indications, management, definitive closure and follow-up, the World Society of Emergency Surgery (WSES) promoted the International Register of Open Abdomen (IROA). The register will be held on a web platform (Clinical Registers®) through a dedicated web site: www.clinicalregisters.org. This will allow to all surgeons and physicians to participate from all around the world only by having a computer and a web connection. The IROA protocol has been approved by the coordinating center Ethical Committee (Papa Giovanni XXIII hospital, Bergamo, Italy). IROA has also been registered to ClinicalTrials.gov (ClinicalTrials.gov Identifier: NCT02382770).

Highlights

The Open Abdomen (OA) was firstly described almost 120 years ago by Andrew J
The most common indications for OA are trauma, abdominal sepsis, severe acute pancreatitis and more in general all those situations in which an intra-abdominal hypertension condition is present, in order to prevent the development of an abdominal compartment syndrome (ACS) [2, 3]
At present many studies have been published about the OA management and the progresses in survival rate of Coccolini et al World Journal of Emergency Surgery (2015) 10:37

Summary

Introduction

The Open Abdomen (OA) was firstly described almost 120 years ago by Andrew J. * Correspondence: federico.coccolini@gmail.com 1General Emergency and Trauma Surgery, Papa Giovanni XXIII Hospital, Piazza OMS 1, 24127 Only by a close cooperation between surgeons and the ICU team would be possible to obtain good results in terms of survival improvement and morbidity reduction. The “old” paradigm to “close at any cost” the abdomen shifted toward a combination of medical and surgical therapies including negative pressure wound therapy and dynamic closure, that would lead to a reduction in mortality, morbidity and incisional hernia rate.

Results

Conclusion