Surgical Management of the Hostile Abdomen: A Comprehensive Current Review of Literature

Abstract

This comprehensive review delves into the intricate landscape of surgical management in cases of a hostile abdomen. A hostile abdomen represents a formidable challenge characterized by factors such as severe adhesions, inflammation, abscesses, or the presence of foreign bodies, complicating surgical interventions.

The preoperative phase is pivotal, requiring meticulous assessment and planning, often involving advanced imaging studies to anticipate potential complications. Surgeons must adapt to the unpredictable intraoperative challenges they encounter, such as dense adhesions and abscess drainage, employing skillful techniques to ensure patient safety. Minimally invasive approaches may be advantageous in select cases, minimizing surgical trauma and expediting recovery.

Interdisciplinary collaboration among surgical specialties, anesthetists, radiologists, and nurses is essential to navigate these complex scenarios seamlessly. Potential complications, including prolonged operative times, increased blood loss, inadvertent injury, and postoperative infections, demand proactive management and comprehensive postoperative care.

In conclusion, managing a hostile abdomen necessitates meticulous planning, adaptability, and interdisciplinary teamwork. Surgeons must navigate unpredictable intraoperative challenges while prioritizing patient safety and optimizing outcomes in this complex clinical entity.