Biomed. Papers 148(1), 81-84 (2004) | DOI: 10.5507/bp.2004.014

ABDOMINAL COMPARTMENT SYNDROME IN POLYTRAUMA

Leopold Plevaa, Milan Šír, Jaroslav Mayzlíkb
a Centre of Traumatology, University Hospital Ostrava, Czech Republic
b Clinic of Surgery University Hospital Ostrava

Authors inform about the group of 8 patients with abdominal compartment syndrome (ACS) occurred as a complication in large blunt injury of abdominal cavity. To the ACS diagnose, the measurement of intracystic pressure is used routinely, whose values correlate fully with values of intraabdominal pressure (IAP). In case of increasing values of IAP over 25 mm Hg with positive clinical signs of ACS, authors indicate decompression laparotomy with temporary closing of abdominal cavity by sterile plastic foil or Ethizip. This preventive temporary laparostomy is recommended also in serious injuries of abdominal cavity in patients with fatal haemorrhage, treated by the method of staged laparotomy with tamponade of abdominal cavity and with massive blood and volume resuscitation.

Keywords: Blunt abdominal trauma, Abdominal compartment syndrome, Intraabdominal pressure, Laparostomy

Received: March 25, 2004; Accepted: May 26, 2004; Published: July 1, 2004  Show citation

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Pleva, L., Šír, M., & Mayzlík, J. (2004). ABDOMINAL COMPARTMENT SYNDROME IN POLYTRAUMA. Biomedical papers, 148(1), 81-84. doi: 10.5507/bp.2004.014
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    References

    1. Backer D. (1999) Abdominal compartment syndrome. Crit Care 3, 103-104. Go to original source...
    2. Bloomfeld GL, Dalton JM, Sugerman HJ et al. (1995) Treatment of increasing intracranial pressure secondary to the acute abdominal compartment syndrome in patient with combined abdominal and head trauma. J Trauma 39, 1168-1170. Go to original source... Go to PubMed...
    3. Carry PY. (1994) La pression intra-abdominal. Ann Fr Anesth Reanim 13, 381-389. Go to original source... Go to PubMed...
    4. Cullen DJ, Coyle JP, Teplick R et al. (1989) Cardiovascular, pulmonary and renal eff ects of massively increased intra-abdominal pressure in critically ill patients. Crit Care Med 17, 118-121. Go to original source... Go to PubMed...
    5. Diebel LN, Dulchavsky SA, Wilson RF. (1992) Eff ect of increased intra-abdominal pressure on mesenteric arterial and intestinal mucosal blood fl ow. J Trauma 33, 45-49. Go to original source... Go to PubMed...
    6. Diebel LN, Wilson RF, Dulchavsky SA et al. (1992) Eff ect of increased intra-abdominal pressure on hepatic arterial, portal venous, and hepatic microcirculatory blood fl ow. J Trauma 33, 279-282. Go to original source... Go to PubMed...
    7. Diebel LN, Wilson RF, Dulchavsky SA. (1992) Eff ect of intraabdominal pressure on abdominal wall blood fl ow. Am surg 58, 573-575. Go to PubMed...
    8. Eddy V, Nunn C, Morris JA. (1997) Abdominal compartment syndrome. Surg Clin Am 77, 801-812. Go to original source... Go to PubMed...
    9. Ivatury RR, Diebel L, Porter JM et al. (1997) Intra-abdominal hypertension and the abdominal compartment syndrome. Surg Clin Am 77, 783-800. Go to original source... Go to PubMed...
    10. Ivatury RR, Poter JM, Simon RJ et al. (1998) Intra-abdominal hypertension after life-threatening penetrating abdominal trauma: prophylaxis, incidence, and clinical relevance to gastric mucosal pH and abdominal compartment syndrome. J Trauma 44, 1016- 1021. Go to original source... Go to PubMed...
    11. Ivatury RR, Simon J. (1996) Intra-abdominla hypertension: the abdominal compartment syndrome. Crit Care 73, 951.
    12. Ivatury RR, Schein M. (1998) Intraabdominal hypertension and the abdominal compartment syndrome. Br J Surg 85, 1027-1028. Go to original source... Go to PubMed...
    13. Kitka M, Pleva L. Poranenia organov brusnej dutiny. Kosice: Klinika urazovej chirurgie LF UPJS a FNLP, 2003. 1. vyd. 73.
    14. Kron IL, Harmann PK, Nolan SP. (1984) The Measurement of Intra-abdominal Pressure as a Criterion for Abdominal Re-exploration. Ann Surg 1999, 28-30. Go to original source... Go to PubMed...
    15. Mašek M, Žák J, Chalupník Š, Šrámek V. (1999) Nejčastější chyby v měření nitrobřišního tlaku. Úraz chir 11, 18-21.
    16. McQueen, Gaston P, Court-Brown CM. (2000) Acute compartment syndrome. J Bone Surg 82-B, 200-203. Go to original source... Go to PubMed...
    17. Michek J, Pleva L, Wendsche P. Poranění orgánů dutiny břišní a retroperitonea. Ostrava: Cicero, 1. vyd. 2001, 134.
    18. Morris JA, Eddy VA, Blinman TA et al. (1993) The staged celiotomy for trauma. Ann Surg 217, 576-586. Go to original source... Go to PubMed...
    19. Obeid F, Fath J, Guslits B et al. (1995) Increases in intraabdominal pressure aff ect pulmonary compliance. Arch Surg 130, 544-548. Go to original source... Go to PubMed...
    20. Ridings PC, Bloomfeld GL, Blocher CR et al. (1995) Cardiopulmonaly eff ects of raised intra-abdominal pressure before and after intravascular volume expansion. J Trauma 39, 1071-1075. Go to original source... Go to PubMed...
    21. Surgue M. (1995) Intra-abdominal pressure. Clin Intensiv Care 6, 76-79. Go to original source...
    22. Zelenak J et al. (2003) Injuries of the intraabdominal organs at patients with polytrauma. Bratisl Lék Listy 104, 82-86. Go to PubMed...

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