Not embraced by everyone and one of the controversial indication to perform open abdomen is refractory intracranial hypertension. It is presumed that the decompression of abdomen by keeping abdomen open lowers the venous pressures and may augment venous outflow from the head and consequently decrease the intracranial pressure.
Joseph DK, Dutton RP, Aarabi B, Scalea TM. Decompressive laparotomy to treat intractable intracranial hypertension after traumatic brain injury. J Trauma 2004; 57:687.
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