Abstract

e various advances in medicine have meant better results in the management of complex diseases, giving therapeutic opportunities for patients who formerly didn`t. Patients who formerly were outside the surgical scope, such as those with large organic impairment or di - culty immediate management through its asso- ciation with high morbidity, today is possible to give them a therapeutic alternative. Open Abdo- men management has meant a breakthrough in the management of diseases that require damage control as severe sepsis or abdominal bleeding or other as the abdominal compartment syndrome. Despite the initial decrease morbidity event, this operation brings other problems regarding achieving primary closure of the wall, minimi- zing the risk of intra-abdominal hypertension and achieve a good uid management to reduce the risks of infection. Are designed for tempo- rary closure alternatives for this purpose, with those who combine a dynamic seal, fastening plus a negative pressure system, those reporting the best results. anks to the aspiration system, complications such as infections, hernias or electrolyte imba- lance associated with the management of Open Abdomen have managed to reduce its rate in conjunction with the dreaded intestinal stula or worse, enteroatmospheric. Without in any system to ensure the absence of complications, which most forms has reduced its risk, is the early closure of the laparotomy, between 5-7 days.