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It delayed fascial closure, protected the underlying bowel and facilitated abdominal re-entry <\/jats:p>","DOI":"10.12968\/jowc.2009.18.2.38745","type":"journal-article","created":{"date-parts":[[2014,5,23]],"date-time":"2014-05-23T15:57:45Z","timestamp":1400860665000},"page":"65-67","source":"Crossref","is-referenced-by-count":1,"title":["TNP-assisted fascial closure in a patient with acute abdomen and abdominal compartment syndrome"],"prefix":"10.12968","volume":"18","author":[{"given":"S.","family":"Gourgiotis","sequence":"first","affiliation":[{"name":"Second Surgical Department;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Villias","sequence":"additional","affiliation":[{"name":"Second Surgical Department;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Benetatos","sequence":"additional","affiliation":[{"name":"Second Surgical Department;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A.","family":"Tsakiris","sequence":"additional","affiliation":[{"name":"Department of Plastic and Surgical Reconstruction and Burns Unit;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"C.","family":"Parisis","sequence":"additional","affiliation":[{"name":"Intensive Care Unit;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S.","family":"Aloizos","sequence":"additional","affiliation":[{"name":"Intensive Care Unit;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.S.","family":"Salemis","sequence":"additional","affiliation":[{"name":"Second Surgical Department; all at 401 General Army Hospital of Athens, Greece."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"5130","reference":[{"key":"p_3","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(97)00201-8"},{"key":"p_5","first-page":"745","volume":"180","year":"1995","journal-title":"J Am Coll Surg"},{"key":"p_11","unstructured":"Our patient was candidate for temporary abdominal closure. Managing her open abdomen was an important part of our strategy after the `damage control' laparotomy and abdominal compartment syndrome associated with fascial reapproximation. No complications such as bleeding or infection were noted, and in the intensive care unit she remained haemodynamically stable and the need for vasopressor drugs to control blood pressure reduced. Before the application of TNP therapy, she had required approximately 8-9 litre\/day of fluids, plus a small dose of noradrenaline to achieve a mean arterial pressure of 80mmHg. After application, these requirements were severely reduced. This can be attributed to the reduction of fluid loss from the open abdomen via the action of the therapy. Fig 4. The completely closed abdomen Fig 1. The initially open abdomen with the excessive ventral hernia and the deficiency of skin Fig 2. 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