[Abdominal compartment syndrome in urgent surgery].
Results of measurement and monitoring of intraabdominal pressure at 288 patients treated for different abdominal diseases and trauma were analyzed. In early postoperative period the increase intraabdominal pressure to 10-15 mm Hg (I degree) was revealed at 161 (56.0%) patients, from 16 to 25 mm Hg (II degree)--at 95 (33.0%), from 25 to 35 mm Hg (III degree)--at 23 (8.0%), more 35 mm Hg (IV degree)--at 8 (2.7%) patients. When intraabdominal pressure decreased on 4-5 mm per day the prognosis was positive at 257 (89.2%) operated patients. Critical type regarded as compartment syndrome (III-IV degree) was diagnosed at 31 (10.8%) patients. Relaparotomy was performed at 23 (8.0%) patients with III degree hypertension, the lethal outcome was at 6 (26.1%) cases. Relaparotomy at 8 (2.7%) patients with IV degree hypertension was late, and all the outcomes at these patients were lethal. General lethality at compartment syndrome was 45.2%. It is concluded that monitoring of intraabdominal hypertension should be mandatory diagnostic method, and critical parameters of abdominal hypertension--absolute indication to repeated laparotomy and decompression of abdominal cavity.
Timerbulatov
V M
VM
Faiazov
R R
RR
Sakhautdinov
R M
RM
Timerbulatov
Sh V
ShV
Muslukhova
E I
EI
Sultanmagomedov
I M
IM
D000005:Abdomen / Q000601:surgery*; D000007:Abdominal Injuries / Q000150:complications / Q000601:surgery*; D003161:Compartment Syndromes / Q000175:diagnosis / Q000209:etiology / Q000401:mortality / Q000601:surgery; D019299:Decompression, Surgical; D004630:Emergencies; D005260:Female; D006801:Humans; D006973:Hypertension / Q000175:diagnosis; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D008991:Monitoring, Physiologic; D011184:Postoperative Period; D011312:Pressure; D011379:Prognosis; D012086:Reoperation