Negative pressure therapy (NPT), Vacuum Assisted Closure (VAC, KCI), ABThera™ (KCI), Renasis (Smith and Nephiew), Suprasorb devices (Lohmann & Rauscher), VivanoMed (Hartmann) can be used to perform a temporary abdominal closure (TAC) or open abdomen (OA) as part of damage control surgical (DCS) interventions in trauma, peritonitis or pancreatitis and generally in all those conditions at risk of intra-abdominal pressure (IAP) increase.
They allow the frequent reassessment of intra-abdominal content. They are used to treat or to prevent the intra-abdominal hypertension (IAH) or the abdominal compartment syndrome (ACS). They have deeply changed the management of temporary abdominal closure (TAC) or open abdomen (OA) and improved survival, morbidity, and the primary fascial closure rate. These methods prevent adhesions between the peritoneum and the bowel, preserves the abdominal wall domain, and actively drains toxin or bacteria-rich intra-peritoneal fluid.