title: [Monitoring of intraabdominal pressure in colonic obstruction].
abstract: Results of surgical treatment of 197 patients with acute colonic obstruction complicated by intraabdominal hypertension were analyzed. Monitoring of intraabdominal pressure was made in 101 patients at the pre- and postoperative periods. Compensated, sub- and decompensated forms of obstruction depending on the data of intraabdominal pressure were determined. The level and dynamics of the intraabdominal pressure are taken as criteria of severity of acute colonic obstruction, decision on the time and volume of surgical procedures. The medico-diagnostic algorithm of management of such patients is proposed. Lethality turned out to be decreased to 15.8% as compared with a control group (24%) due to the monitoring of intraabdominal pressure and improved surgical strategy.
authors.forename: V M
authors.initials: VM
authors.lastname: Timerbulatov
authors.forename: Sh V
authors.initials: ShV
authors.lastname: Timerbulatov
authors.forename: R R
authors.initials: RR
authors.lastname: Faiazov
authors.forename: R N
authors.initials: RN
authors.lastname: Gareev
mesh_terms: D034841:Abdominal Cavity / Q000503:physiopathology / Q000601:surgery; D000208:Acute Disease; D003106:Colon / Q000473:pathology; D003108:Colonic Diseases / Q000150:complications* / Q000503:physiopathology; D003161:Compartment Syndromes / Q000145:classification* / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D019299:Decompression, Surgical / Q000379:methods; D006801:Humans; D007415:Intestinal Obstruction / Q000150:complications* / Q000503:physiopathology; D008365:Manometry / Q000379:methods* / Q000592:standards; D008991:Monitoring, Physiologic / Q000379:methods / Q000592:standards; D009102:Multiple Organ Failure / Q000209:etiology / Q000401:mortality; D018579:Patient Selection; D011184:Postoperative Period; D057234:Preoperative Period; D011312:Pressure / Q000009:adverse effects*; D012720:Severity of Illness Index