AbThera, Botox, and Fasciotens: A Trifecta in Open Abdomen Management.

The management of patients with open abdomen (OA) has long been a frustrating problem for surgeons, with high morbidity and mortality. OA secondary to laparotomy for septic peritonitis (one of the commonest causes) requires the control of abdominal wall retraction, prevention of evisceration and bowel fistulae, and overall control of infection. We present here the successful implementation of a relatively novel therapeutic combination of three different modern interventions on a 68-year-old patient with an open abdomen caused by an anastomotic leak following the reversal of Hartmann's operation. We were successful in primarily closing the abdominal wall after 14 days.