Federico Coccolini, Papa Giovanni XXIII Hospital
Giulia Montori, Papa Giovanni XXIII Hospital
Marco Ceresoli, Papa Giovanni XXIII Hospital
Fausto Catena, Parma Maggiore hospital
Ernest E. Moore, Denver Health
Rao Ivatury, Virginia Commonwealth University
Walter Biffl, The Queen’s Medical Center
Andrew Peitzman, University of Pittsburgh
Raul Coimbra, UC San Diego
Sandro Rizoli, St Michael’s Hospital
Yoram Kluger, Rambam Health Care Campus
Fikri M. Abu-Zidan, UAE University
Massimo Sartelli, Macerata Hospital
Marc De Moya, Massachusetts General Hospital
George Velmahos, Massachusetts General Hospital
Gustavo Pereira Fraga, Unicamp Campinas
Bruno M. Pereira, Unicamp Campinas
Ari Leppaniemi, Meilahti Hospital
Marja A. Boermeester, Academic Medical Center Amsterdam
Andrew W. Kirkpatrick, Foothills Medical Centre
Ron Maier, Harborview Medical Centre
Miklosh Bala, Hadassah Medical Centre
Boris Sakakushev, University Hospital/UMBAL/St George Plovdiv
Vladimir Khokha, Mozir Hospita
Manu Malbrain, Ziekenhius Netwerk Antwerpen
Vanni Agnoletti, Bufalini Hospital
Ignacio Martin-Loeches, Corporasiò Sanitaria Park Tauli
Michael Sugrue, Letterkenny Hospital
Salomone Di Saverio, Maggiore Hospital
Ewen Griffiths, Birmigham Hospital
Kjetil Soreide, Stavanger University Hospital, University of Bergen
John E. Mazuski, Washington University
Addison K. May, Vanderbilt University
Philippe Montravers, University Denis Diderot
Rita Maria Melotti, Sant’Orsola-Malpighi University
Michele Pisano, Papa Giovanni XXIII Hospital
Francesco Salvetti, Papa Giovanni XXIII Hospital
Gianmariano Marchesi, Papa Giovanni XXIII Hospital
Tino M. Valetti, Papa Giovanni XXIII Hospital
Thomas Scalea, University of Maryland
Osvaldo Chiara, Niguarda Hospital
Jeffry L. Kashuk, Assuta Medical Centers
Luca Ansaloni, Papa Giovanni XXIII Hospital

Document Type


Original Publication Date


Journal/Book/Conference Title

World Journal of Emergency Surgery





First Page


Last Page


DOI of Original Publication



Originally published at

Date of Submission

August 2017


The open abdomen (OA) is defined as intentional decision to leave the fascial edges of the abdomen un-approximated after laparotomy (laparostomy). The abdominal contents are potentially exposed and therefore must be protected with a temporary coverage, which is referred to as temporal abdominal closure (TAC). OA use remains widely debated with many specific details deserving detailed assessment and clarification. To date, in patients with intra-abdominal emergencies, the OA has not been formally endorsed for routine utilization; although, utilization is seemingly increasing. Therefore, the World Society of Emergency Surgery (WSES), Abdominal Compartment Society (WSACS) and the Donegal Research Academy united a worldwide group of experts in an international consensus conference to review and thereafter propose the basis for evidence-directed utilization of OA management in non-trauma emergency surgery and critically ill patients. In addition to utilization recommendations, questions with insufficient evidence urgently requiring future study were identified.


© The Author(s). 2017 Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (, which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( applies to the data made available in this article, unless otherwise stated.

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