Intragastric pressure: Useful indicator in the management of congenital diaphragmatic hernia.
OBJECTIVE
To assess the role of measuring of intragastric pressure (IGP) during closure of congenital diaphragmatic hernia.


METHODS
Thirty-two cases were included in the study (August 2008 to February 2014), and IGP has been measured intraoperatively during closure.


RESULTS
Patients were categorized in group A (15 patients), group B (14 patients) and group C (3 patients). In group C, IGP was more than 30 cm of water pressure and all of tehm required creation of ventral hernia and ventilator support.


CONCLUSIONS
Measurement of IGP as an objective, noninvasive and simple method to evaluate intra-abdominal pressure and prevention of abdominal compartment syndrome and intraoperative IGP value determines the types of abdominal closure.
Department of Pediatric Surgery, Dr. B. C. Roy, PGIPS, Kolkata, West Bengal, India.
Kartik Chandra
KC
Mandal
Department of Pediatric Surgery, Dr. B. C. Roy, PGIPS, Kolkata, West Bengal, India.
Pankaj
P
Halder
Department of Pediatric Surgery, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.
Shibsankar
S
Barman
Department of Pediatric Surgery, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India.
Rajarshi
R
Kumar
Senior Consultant, Pediatric Surgery, Apollo Gleneagles Hospitals, Kolkata, West Bengal, India.
Biswanath
B
Mukhopadhyay
Department of Pediatric Surgery, R D Gardi Medical College, Ujjain, Madhya Pradesh, India.
Ram Mohan
RM
Shukla
Abdominal compartment syndrome; congenital diaphragmatic hernia; intragastric pressure; ventilation; ventral hernia
J Pediatr Surg. 2013 May;48(5):930-4
23701762
Ann Surg. 1984 Jan;199(1):28-30
6691728
J Appl Physiol Respir Environ Exerc Physiol. 1984 Dec;57(6):1682-7
6511543
Surg Endosc. 2001 Aug;15(8):854-60
11443466
Crit Care Med. 2008 Jul;36(7):2157-62
18552691
Arch Surg. 1995 May;130(5):544-7; discussion 547-8
7748095
J Appl Physiol (1985). 1996 Sep;81(3):1111-4
8889741
J Endourol. 1994 Apr;8(2):99-103
8061681
J Pediatr Surg. 2002 Feb;37(2):214-8
11819201
J Indian Assoc Pediatr Surg. 2011 Oct;16(4):129-31
22121309
Ann Surg. 1983 Feb;197(2):183-7
6600601
J Pediatr Surg. 1987 Dec;22(12):1207-11
2964519