{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T02:34:30Z","timestamp":1792290870393,"version":"4.4.0"},"reference-count":13,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2009,4,17]],"date-time":"2009-04-17T00:00:00Z","timestamp":1239926400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/2.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2009,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This short report is a distillation of the proceedings from a consensus group meeting in January 2009. It outlines a proposed classification system for patients with an open abdomen (OA). The classification allows (1) a description of the patient\u2019s clinical course; (2) standardized clinical guidelines for improving OA management; and (3) improved reporting of OA status, which will facilitate comparisons between studies and heterogeneous patient populations. The following grading is suggested: grade 1A, clean OA without adherence between bowel and abdominal wall or fixity of the abdominal wall (lateralization); grade 1B, contaminated OA without adherence\/fixity; grade 2A, clean OA developing adherence\/fixity; grade 2B, contaminated OA developing adherence\/fixity; grade 3, OA complicated by fistula formation; grade 4, frozen OA with adherent\/fixed bowel, unable to close surgically, with or without fistula. We propose that this classification system will facilitate communication, clarify OA management, and potentially improve patient care.<\/jats:p>","DOI":"10.1007\/s00268-009-9996-3","type":"journal-article","created":{"date-parts":[[2009,4,16]],"date-time":"2009-04-16T17:25:06Z","timestamp":1239902706000},"page":"1154-1157","source":"Crossref","is-referenced-by-count":140,"title":["Classification\u2014Important Step to Improve Management of Patients with an Open Abdomen"],"prefix":"10.1002","volume":"33","author":[{"given":"Martin","family":"Bj\u00f6rck","sequence":"first","affiliation":[{"name":"Department of Vascular Surgery, Institution of Surgical Sciences Uppsala University Hospital SE\u2010751 85 Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreas","family":"Bruhin","sequence":"additional","affiliation":[{"name":"Department of Trauma and visceral surgery Luzern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael","family":"Cheatham","sequence":"additional","affiliation":[{"name":"Surgical Intensive Care Units Orlando Medical Centre Orlando USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Hinck","sequence":"additional","affiliation":[{"name":"Klinik fur Visceralchirurgie Itzehoe Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Kaplan","sequence":"additional","affiliation":[{"name":"Division of Trauma, Surgical Critical Care Albert Einstein Medical Center Philadelphia USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Guiseppe","family":"Manca","sequence":"additional","affiliation":[{"name":"Department of General and Vascular Surgery Careggi Hospital Florence Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thomas","family":"Wild","sequence":"additional","affiliation":[{"name":"Universit\u00e4tskikinik f\u00fcr Chirurgie, Medizinische Universit\u00e4t Wien Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alastair","family":"Windsor","sequence":"additional","affiliation":[{"name":"Department of General Surgery University College Hospital London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,4,17]]},"reference":[{"key":"e_1_2_6_2_2","first-page":"277","article-title":"A new method for surgical treatment of omphaloceles","volume":"24","author":"Gross R","year":"1948","journal-title":"Surgery"},{"key":"e_1_2_6_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/00000658\u2010198401000\u201000005"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010006\u20100349\u20105"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00134\u2010007\u20100592\u20104"},{"key":"e_1_2_6_6_2","unstructured":"IvaturyRR(2009) Update on open abdomen management: achievements and challenges.World J Surg. doi:10.1007\/s00268\u2010009\u20100005\u20107"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01664876"},{"key":"e_1_2_6_8_2","first-page":"30","article-title":"Temporary closure of open abdominal wounds: the vacuum pack","volume":"61","author":"Brock WB","year":"1995","journal-title":"Am Surg"},{"key":"e_1_2_6_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00005373\u2010200002000\u201000001"},{"key":"e_1_2_6_10_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.TA.0000100218.03754.6A"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1097\/01.sla.0000124291.09032.bf"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00268\u2010007\u20109222\u20100"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2003.12.1.26451"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2005.14.1.26727"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-009-9996-3","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,12,26]],"date-time":"2023-12-26T22:56:37Z","timestamp":1703631397000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-009-9996-3"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,4,17]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2009,6]]}},"alternative-id":["10.1007\/s00268-009-9996-3"],"URL":"https:\/\/doi.org\/10.1007\/s00268-009-9996-3","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,4,17]]}}}