Inclusion Criteria:  ≥18 years of age Have index operation performed by one of the Trauma and Acute Care surgeons at Sanford Medical Center Fargo Require an open abdomen due to a non-traumatic cause and placement of an Abthera™ wound vacuum Cognitively impaired adults will be included if a Legally Authorized Representative is available to provide informed consent.  Exclusion Criteria:  Patients under the age of 18 Vulnerable populations such as pregnant women and prisoners Patients with open abdomens as the result of trauma Non-English speaking (Due to time constraints pre-operatively and the length of time necessary to secure translation services, non-English speaking patients will not be enrolled).