[en] Introduction. Damage control surgery (CCD) and temporary closure of the abdominal wall with an open abdomen system are important resources in unstable and potentially serious patients although it presents significant figures of postoperative morbidity and mortality. However, there are few national and international records on the results of this technique. Objectives. To analyze the postoperative morbidity and postoperative survival of patients who underwent a surgical intervention of these characteristics. Methodology. Retrospective analysis of a continuous prospective database on the Open Abdomen Technique at the Virgen del Rocío University Hospital in Seville. Eighty-five patients were included, all of them underwent urgent or elective surgery requiring temporary closure of the abdominal wall with an open abdomen system between January 1, 2020 and December 31, 2021, inclusive, regardless of the surgical indication. The basic and surgical characteristics of the patients, as well as their morbidity and postoperative survival until the end of the follow-up date, April 15, 2022, were analyzed and compared. Results. The most frequent indication was septic abdomen followed by "Second look" surgery of ischemic or hemorrhagic origin. 44.7% of patients presented intra-abdominal postoperative complications and 74.7% non-intra-abdominal. A total of 40 patients (47.1%) died, of which 19 (22.4% of the total) died during the first 48 hours. It was found that the APACHE II Score in patients with the Open Abdomen technique significantly influences survival and the development of non-intra-abdominal complications. Conclusions. The APACHE II score in patients with open abdomen technique significantly influences survival and the development of non-intraabdominal complications.

[gl] Introdución. A cirurxía de control de danos (DCC) e o peche temporal da parede abdominal cun sistema de abdome aberto son un recurso importante en pacientes inestables e potencialmente gravemente enfermos, aínda que presenta cifras non despreciables de morbilidade e mortalidade postoperatoria. Non obstante, hai poucos rexistros nacionais e internacionais sobre os resultados desta técnica. Obxectivo. Analizar a morbilidade e supervivencia postoperatoria dos pacientes sometidos a unha intervención cirúrxica destas características. Metodoloxía. Análise retrospectiva dunha base de datos prospectiva continua sobre Técnica de Abdomen Aberto no Hospital Universitario Virgen del Rocío de Sevilla. Foron incluídos 85 pacientes, todos os que foron sometidos a ciruxía urxente ou electiva que requiriron o peche temporal da parede abdominal cun sistema de abdome aberto entre o 1 de xaneiro de 2020 e o 31 de decembro de 2021, ambos incluídos, independentemente da indicación cirúrxica. Analizáronse e comparáronse tanto as características básicas como as cirúrxicas dos pacientes, así como a súa morbilidade e supervivencia postoperatoria ata o final da data de seguimento, o 15 de abril de 2022. Resultados. A indicación máis frecuente foi o abdome séptico seguido da cirurxía de "Segunda mirada" de orixe isquémica ou hemorráxica. O 44,7% dos pacientes presentaron complicacións postoperatorias intraabdominais e o 74,7% non intraabdominais. Un total de 40 pacientes (47,1%) faleceron, dos cales 19 (22,4% do total) faleceron nas primeiras 48 horas. Descubriuse que a puntuación APACHE II en pacientes coa técnica Open Abdomen inflúe significativamente na supervivencia e no desenvolvemento de complicacións non intraabdominais. Conclusión. A puntuación APACHE II en pacientes coa técnica de Abdomen Aberto inflúe significativamente na supervivencia e no desenvolvemento de complicacións non intraabdominais.