Surgical management of abdominal compartment syndrome; indications and techniques

<p>Abstract</p> <p>The indications for surgical decompression of abdominal compartment syndrome (ACS) are not clearly defined, but undoubtedly some patients benefit from it. In patients without recent abdominal incisions, it can be achieved with full-thickness laparostomy (either m...

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Main Author: Leppäniemi Ari
Format: Article
Language:English
Published: BMC 2009-04-01
Series:Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
Online Access:http://www.sjtrem.com/content/17/1/17
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author Leppäniemi Ari
author_facet Leppäniemi Ari
author_sort Leppäniemi Ari
collection DOAJ
description <p>Abstract</p> <p>The indications for surgical decompression of abdominal compartment syndrome (ACS) are not clearly defined, but undoubtedly some patients benefit from it. In patients without recent abdominal incisions, it can be achieved with full-thickness laparostomy (either midline, or transverse subcostal) or through a subcutaneous linea alba fasciotomy. In spite of the improvement in physiological variables and significant decrease in IAP, however, the effects of surgical decompression on organ function and outcome are less clear. Because of the significant morbidity associated with surgical decompression and the management of the ensuing open abdomen, more research is needed to better define the appropriate indications and techniques for surgical intervention.</p>
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spelling doaj.art-f92339e2236d4c1d9362b479894fa78f2022-12-22T02:49:15ZengBMCScandinavian Journal of Trauma, Resuscitation and Emergency Medicine1757-72412009-04-011711710.1186/1757-7241-17-17Surgical management of abdominal compartment syndrome; indications and techniquesLeppäniemi Ari<p>Abstract</p> <p>The indications for surgical decompression of abdominal compartment syndrome (ACS) are not clearly defined, but undoubtedly some patients benefit from it. In patients without recent abdominal incisions, it can be achieved with full-thickness laparostomy (either midline, or transverse subcostal) or through a subcutaneous linea alba fasciotomy. In spite of the improvement in physiological variables and significant decrease in IAP, however, the effects of surgical decompression on organ function and outcome are less clear. Because of the significant morbidity associated with surgical decompression and the management of the ensuing open abdomen, more research is needed to better define the appropriate indications and techniques for surgical intervention.</p>http://www.sjtrem.com/content/17/1/17
spellingShingle Leppäniemi Ari
Surgical management of abdominal compartment syndrome; indications and techniques
Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine
title Surgical management of abdominal compartment syndrome; indications and techniques
title_full Surgical management of abdominal compartment syndrome; indications and techniques
title_fullStr Surgical management of abdominal compartment syndrome; indications and techniques
title_full_unstemmed Surgical management of abdominal compartment syndrome; indications and techniques
title_short Surgical management of abdominal compartment syndrome; indications and techniques
title_sort surgical management of abdominal compartment syndrome indications and techniques
url http://www.sjtrem.com/content/17/1/17
work_keys_str_mv AT leppaniemiari surgicalmanagementofabdominalcompartmentsyndromeindicationsandtechniques