The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration.
Acute elevation of intra-abdominal pressure above 30 mmHg caused oliguria in 11 postoperative patients. Operative re-exploration and decompression in seven patients resulted in immediate diuresis. Four patients who were not re-explored developed renal failure and died. If intra-abdominal pressure rises above 25 mmHg in the early postoperative period and is associated with oliguria and normal blood pressure and cardiac index, the patient should undergo re-exploration and decompression of the abdomen.
D000005:Abdomen / Q000601:surgery; D058186:Acute Kidney Injury / Q000209:etiology; D000328:Adult; D000368:Aged; D001002:Anuria / Q000601:surgery*; D006439:Hemodynamics; D006801:Humans; D007813:Laparotomy; D008297:Male; D008365:Manometry / Q000379:methods; D008875:Middle Aged; D009846:Oliguria / Q000209:etiology / Q000601:surgery*; D011183:Postoperative Complications / Q000601:surgery; D011312:Pressure; D012079:Renal Circulation; D012086:Reoperation; D013514:Surgical Procedures, Operative; D014563:Urodynamics