Abdominal compartment syndrome

Patients with temporary abdominal closure will need instructions regarding local wound care if they have an open wound. Patients who have undergone decompressive laparotomy are at risk for any of the complications that are attendant on any major abdominal operation, including late infection and an increased risk for adhesive bowel obstruction. They should be instructed to seek immediate medical attention if they have a high fever, signs of GI bleeding, or severe abdominal pain. For the first 30 to 60 days, patients should avoid heavy lifting and contact athletics in view of the risk of a ventral hernia. If the fascia was not closed, lifting and activity restrictions should continue until the abdominal wall is repaired.