Abstract
Intra-abdominal hypertension (IAH) and the abdominal compartment syndrome are life-threatening complications in severely injured patients. They may trigger a multiple organ dysfunction syndrome with subsequent fatal outcome. Early identification of high-risk patients, close monitoring including repeated measuring of intra-abdominal pressure (IAP), and early or even prophylactic surgical decompression of the abdomen may effectively lower morbidity and mortality. Following abdominal decompression, continuing IAP monitoring is crucial since the development of critical IAH is commonly seen, despite adequate initial decompression,. For the management of the open abdomen, different techniques of temporary abdominal closures (TACs) are described.
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References
Zsolt B, McKinley BA, Cox CS et al (2003) Abdominal compartment syndrome: the cause or effect of postinjury multiple organ failure. Shock 20:483–492
Balogh Z, McKinley BA, Holcomb JB et al (2003) Both primary and secondary abdominal compartment syndrome can be predicted early and are harbringers of multiple organ failure. J Trauma 54:848–859
Balogh Z, Jones F, D’Amours S et al (2004) Continuous intra-abdominal pressure measurement technique. Am J Surg 188:679–684
Balogh Z, Moore FA, Goettler CE et al (2006) Management of abdominal compartment syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Bioscience, Georgetown, pp 264–294
Barker DE, Kaufman HJ, Smith LA et al (2000) Vacuum pack technique of temporary abdominal closure: a 7-year experience with 112 patients. J Trauma 48:201–207
Barnes GS, Papasavas PK, O’Mara MS et al (2004) Modified extraperitoneal endoscopic separation of parts for abdominal compartment syndrome. Surg Endosc 18:1636–1639
Benninger E, Laschke MW, Cardell M et al (2009) Intra-abdominal pressure development after different temporary abdominal closure techniques in a porcine model. J Trauma 66(4):1118–1124
Cheatham ML, White MW, Sagraves SG et al (2000) Abdominal perfusion pressure: a superior parameter in the assessment of intra-abdominal hypertension. J Trauma 49:621–626
Cheatham ML, Malbrain MLNG, Kirkpatrick A et al (2007) Results from the conference of experts on intra-abdominal hypertension and abdominal compartment syndrome. Part II: recommendations. Intensive Care Med 33:951–962
De Waele JJ, Hoste EA, Malbrain ML (2006) Decompressive laparotomy for abdominal compartment syndrome – a critical analysis. Crit Care 10:R51
Fernandez L, Norwood S, Roettger R et al (1996) Temporary intravenous bag silo closure in severe abdominal trauma. J Trauma 40:258–260
Goettler CE, Rotondo MF, Schwab WC (2006) Surgical management of the open abdomen after damage control or abdominal compartment syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M (eds) Abdominal compartment syndrome. Landes Bioscience, Georgetown, pp 271–282
Leppaniemi AK, Hienonen PA, Siren JE et al (2006) Treatment of abdominal compartment syndrome with subcutaneous anterior abdominal fasciotomy in severe pancreatitis. World J Surg 30:1922–1924
Malbrain MLNG (2004) Different techniques to measure intra-abdominal pressure (IAP): time for a critical re-appraisal. Intensive Care Med 30:357–371
Malbrain MLNG, Chiumello D, Pelosi P et al (2004) Prevalence of intra-abdominal hypertension in critically ill patients: a multicentre epidemiological study. Intensive Care Med 30:822–829
Malbrain MLNG, Cheatham ML, Kirkpatrick A et al (2006) Results from the conference of experts on intra-abdominal hypertension and abdominal compartment syndrome. Part I: definitions. Intensive Care Med 32:1722–1732
Meier C, Contaldo C, Schramm R et al (2007) Microdialysis of the rectus abdominis muscle for early detection of impending abdominal compartment syndrome. Intensive Care Med 33:1434–1443
Morykwas MJ, Faler BJ, Pearce DJ et al (2001) Effects of varying levels of subathmospheric pressure on the rate of granulation tissue formation in experimental wounds in swine. Ann Plast Surg 47:547–551
Perez D, Wildi S, Demartines N et al (2007) Prospective evaluation of vacuum-assisted closure in abdominal compartment syndrome and severe abdominal sepsis. J Coll Am Surg 205:586–592
Raeburn CD, Moore EE, Biffl WL et al (2001) The abdominal compartment syndrome is a morbid complication of postinjury damage control surgery. Am J Surg 182:542–546
Ramirez OM, Ruas E, Dellon AL (1990) ”Components separation” method for closure of abdominal wall defects: an anatomic and clinical study. Plast Reconstr Surg 86:519–526
Rezende-Neto JB, Moore EE, Masuno T et al (2003) The abdominal compartment syndrome as a second insult during systemic neutrophil priming provokes multiple organ injury. Shock 20:303–308
Van Hensbroek PB, Wind J, Dijkgraaf MGW et al (2009) Temporary Closure of the open abdomen: a systematic review on delayed primary fascial closure in patients with an open abdomen. World J Surg 33:199–207
Von Rueden C, Benninger E, Mayer D et al (2008) Bogota-VAC- a newly modified temporary abdominal closure technique. Eur J Trauma Emerg Surg: 34:582–586
Widder S, Ranson MK, Zygun D et al (2008) Use of near-infrared spectroscopy as a physiologic monitor for intra-abdominal hypertension. J Trauma 64:1165–1168
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Meier, C. (2011). Abdominal Compartment Syndrome, Abdominal Decompression, and Temporary Abdominal Closure. In: Oestern, HJ., Trentz, O., Uranues, S. (eds) Head, Thoracic, Abdominal, and Vascular Injuries. European Manual of Medicine. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-88122-3_11
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DOI: https://doi.org/10.1007/978-3-540-88122-3_11
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