In the last few years laparostomy has become an even more useful option for the surgeon. This is due to the experience gained in critical abdominal trauma and in severe surgical emergencies, such as acute haemorrhagic necrotizing pancreatitis and peritonitis and due to the introduction of Damage Control as a surgical strategy to prevent abdominal compartment syndrome (ACS). After a laparostomy the surgeon needs to provide a delayed fascial closure to achieve the best outcome for the patient. The aim of this paper is to illustrate the experience and the results after the introduction of a modified laparostomy technique in our surgical activity. No patients developed ACS. IAP was measured on average at 19. DFC was achieved in 33 PACS out of 36 (91,7%) after 5 days on average (minimum 20 hours; maximum 20 days). Predicted mortality (SAPSII) in ICU for these patients was 76.5% on average. Out of 31 patients, 20 (64.5%) died and 11 (35.5%) survived.
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