Problems and solution against the standardized approach in open abdomen and temporary abdominal closure                 ZHU Wei-ming. Nanjing Geneal Hospital of Nanjing Military Command, PLA, Department of General Surgery, Nanjing 210002, China
Abstract    Open abdomen and temporary closure are important means in the management of severe trauma, intra-abdominal sepsis and abdominal compartment syndrome. Standardized use of these measures can improve cure rate dramatically, but abuse of open abdomen can lead to a series of complications. Standardized approach in the open abdomen and temporary closure includes highly awareness and preventive measures against abdominal compartment syndrome, strictly follow the indications of open abdomen, proper selection of temporary abdominal closure method, prevention of complications during open abdomen, timely open and definitive closure of the abdomen, aggressive use of enteral nutrition during open abdomen and temporary closure to increase the success rate and reduce complications related to definitive abdominal closure.