[Efficacy of decompression treatment of abdominal compartment syndrome].

Abstract

INTRODUCTION:

Abdominal compartment syndrome (ACS) is an entity that represents a latent problem in the patient subjected to laparotomy.

OBJECTIVE:

To evaluate the effectiveness of decompressive treatment of ACS.

MATERIAL AND METHODS:

We studied patients subjected to decompressive treatment for diagnosis of SCA from May 1 to November 30, 2001 prospectively. We evaluated intraabdominal pressure (IAP), peak pressure of air way (J)PVA), oxygen available index (OAi), ventilation-perfussion index and uresis, before, after, and at 48 h of decompressive surgery. The data were treated statistically with paired student t test taking as significant p < 0.05 using percentages for qualitative variables and average with standard deviation for quantitative variables.

RESULTS:

We included 10 patients; three died (30%). Alone it VP & it descended significantly after compression (1 > < 0.05). Uresis, PPVA, OlA and VPI were carried out 48 h of decompressive surgery.

CONCLUSIONS:

Decompressive treatment is effective in ACS, showing immediate decreased of IAP and improvement of the hemodynamic variables after 48 h post-surgery.

• Authors: Rigoberto Dolores-Velásquez, Luis Fernando Sauri-lc, Raúl Sánchez-Lozada
• Journal: Gaceta medica de Mexico (Gac Med Mex) 2003 Sep-Oct Vol. 139 Issue 5 Pg. 459-63 ISSN: 0016-3813 [Print] Mexico
• Vernacular Title: Eficacia del tratamiento descompresivo en el síndrome del compartimiento abdominal.
• PMID: 14635565 (Publication Type: English Abstract, Journal Article)

Topics

• Abdomen
• Adult
• Compartment Syndromes (therapy)
• Female
• Humans
• Lower Body Negative Pressure
• Male
• Prospective Studies