{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T23:32:21Z","timestamp":1791329541212,"version":"4.3.1"},"reference-count":21,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,5,20]],"date-time":"2022-05-20T00:00:00Z","timestamp":1653004800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the open abdomen technique (laparostomy) used in complications of major gynecological oncology surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We analyzed retrospectively the surgical database of all patients who had undergone major open surgery by the same gynecologic oncologist over a 5\u2010year period. All patients who had had open abdomen procedure were identified; demographic data and indications of primary surgery, temporary abdominal closure procedure details, fascia closure and morbidity, mortality rates were evaluated. Intraabdominal infection and intraoperative massive hemorrhage were the major indications for all open abdomen cases. Mannheim Peritonitis Index was used perioperatively to determine open abdomen decision in intraabdominal infections. Vacuum Assisted Abdominal Closure system and Bogota Bag were used for temporary abdominal closure techniques.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Out of the total 560 patients who had undergone major oncological surgery, 19 patients (3.3%) had open abdomen procedure due to surgical complications. Eleven patients had intraabdominal infection, six patients had hemodynamic instability due to peri and postoperative hemorrhage, two patients had gross fecal contamination during posterior pelvic exenteration surgery. The fascia was closed totally in 15 (78%), partially in 3 (15%) and could not be closed in 1 patient who had died secondary to multiorgan failure. Total morbidity and mortality rates were 26% (5\/19) (two intrabdominal abscess, one pulmonary embolism, one skin necrosis, one enteroatmospheric fistula) and 5.2% (1\/19) respectively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Open abdomen is a life\u2010saving procedure when applied with correct indications and timing. Gynecological oncologic surgeries are candidates to serious complications and gynecologic oncologists dealing with such surgery should be as experienced as general surgeons in this regard.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.15296","type":"journal-article","created":{"date-parts":[[2022,5,21]],"date-time":"2022-05-21T04:40:11Z","timestamp":1653108011000},"page":"1904-1912","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Open abdomen technique used in complications of major gynecological oncology surgery"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2699-4969","authenticated-orcid":false,"given":"Ozgur","family":"Akbayir","sequence":"first","affiliation":[{"name":"Department of Gynecologic Oncology, Prof. Dr. Cemil Tascioglu City Hospital University of Health Sciences  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1714-847X","authenticated-orcid":false,"given":"Suat C.","family":"Ulukent","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Gaziosmanpasa Training and Research Hospital University of Health Sciences  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3033-985X","authenticated-orcid":false,"given":"Hakan","family":"Guraslan","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Bagcilar Training and Research Hospital University of Health Sciences  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Niyazi A.","family":"Seyhan","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Oncology Aydin Adnan Menderes University  Aydin Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2188-2503","authenticated-orcid":false,"given":"Osman S.","family":"Gunkaya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Sancaktepe \u015eehit Prof. Dr. \u0130lhan Varank Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1666-8588","authenticated-orcid":false,"given":"Basak","family":"Cingillioglu","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Prof. Dr. Cemil Tascioglu City Hospital University of Health Sciences  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erhan","family":"Akturk","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Prof. Dr. Cemil Tascioglu City Hospital University of Health Sciences  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ilkbal T.","family":"Yuksel","sequence":"additional","affiliation":[{"name":"Department of Gynecologic Oncology Kanuni Sultan Suleyman Training and Research Hospital  Istanbul Turkey"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,20]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0000000000001234"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ygyno.2005.05.034"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/cc8857"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199309000-00008"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/IGC.0b013e31829169fc"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800810217"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1742-481X.2012.01018.x"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-015-0032-7"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/MCC.0b013e3283297934"},{"key":"e_1_2_8_11_1","first-page":"5","article-title":"A focus on intra\u2010abdominal infections","volume":"19","author":"Sartelli M","year":"2010","journal-title":"World J Emerg Surg"},{"issue":"3","key":"e_1_2_8_12_1","first-page":"555","article-title":"Urgent relaparotomy: the high\u2010risk, no\u2010choice operation","volume":"98","author":"Bunt TJ","year":"1985","journal-title":"Surgery"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02944195"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199006000-00011"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.298.8.865"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13017-017-0146-1"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800841110"},{"issue":"5","key":"e_1_2_8_18_1","first-page":"267","article-title":"Prospective evaluation of prognostic scoring systems in peritonitis. 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