Recent advances in the management of abdominal compartment syndrome.
Abdominal compartment syndrome is a systemic syndrome involving derangement in cardiovascular hemodynamics, respiratory and renal function as a result of sustained increase in intra-abdominal pressure. This results in multi-organ failure requiring prompt action and treatment. Presentation can be acute, chronic and acute on chronic. Initial diagnosis is clinical, confirmed by measurement of urinary bladder pressure. Treatment is abdominal decompression by laparostomy and delayed abdominal closure. Awareness among the surgeons has increased because laparoscopy has resulted in determination of intra-abdominal pressure as a readily measurable quantity. They have been able to appreciate the benefit of abdominal decompression by performing repeated planned laparotomies for trauma.
Saleem
Talha Bin
TB
Department of General Surgery, Airedale General Hospital, Keighley, West Yorkshire, United Kingdom. kittoo68@hotmail.com
Ahmed
Irfan
I
D000005:Abdomen / Q000503:physiopathology; D003161:Compartment Syndromes / Q000503:physiopathology / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D011312:Pressure; D011379:Prognosis; D001743:Urinary Bladder / Q000503:physiopathology