Skip to main content

Decompressive Laparotomy

  • Chapter
  • First Online:
Interventional Critical Care

Abstract

Abdominal compartment syndrome (ACS) and intra-abdominal hypertension present as the pathological sequelae of ongoing pressure changes and/or interstitial swelling which affect tissue viability and organ function. Surgical decompression with midline laparotomy is the standard treatment once ACS with organ dysfunction has occurred. While the operating room remains the ideal location for general surgery-bedside decompressive laparotomy in the Intensive Care Unit can help avoid delays in care, mitigate cost while rapidly improved hemodynamics, respiratory and renal parameters.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 139.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 179.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Rogers WK, Garcia L. Intraabdominal hypertension, abdominal compartment syndrome, and the open abdomen. Chest. 2018;153(1):238–50. https://doi.org/10.1016/j.chest.2017.07.023.

    Article  PubMed  Google Scholar 

  2. Van Beuzekom M, Boer F, Akerboom S, Hudson P. Patient safety in the operating room: an intervention study on latent risk factors. BMC Surg. 2012;12:10. https://doi.org/10.1186/1471-2482-12-10. Available from https://www.ncbi.nlm.nih.gov/pubmed/22726757

    Article  PubMed  PubMed Central  Google Scholar 

  3. Schreiber J, Nierhaus A, Vettorazzin E, Braune SA, Frings DP, Vashist Y, Izbicki JR, Klunge S. Rescue bedside laparotomy in the intensive care unit in patients too unstable for transport to the operating room. Crit Care. 2014;18(3):R123. https://doi.org/10.1186/cc13925. Available from https://www-ncbi-nlm-nih-gov.ahecproxy.ncahec.net/pmc/articles/PMC4231096/.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Piper GL, Maerz LL, Schuster KM, Maung AA, Luckianow GM, Davis KA, Kaplan LJ. When the ICU is the operating room. J Trauma Acute Care Surg. 2013;74(3):871–5. https://doi.org/10.1097/TA.0b013e31827e9c52.

    Article  PubMed  Google Scholar 

  5. Gestring M. Abdominal compartment syndrome. UpToDate. Waltham: UpToDate Inc. This topic last updated Mar 5, 2020. https://www.uptodate.com/contents/abdominal-compartment-syndrome-in-adult.

  6. Maerz L, Kaplan LJ. Abdominal compartment syndrome. Crit Care Med. 2008;36(4):S212–5. https://doi.org/10.1097/CCM.0b013e318168e333.

    Article  PubMed  Google Scholar 

  7. Walker J, Criddle LM. Pathophysiology and management of abdominal compartment syndrome. Am J Crit Care. 2003;12(4):367–71, quiz 372–3

    Article  Google Scholar 

  8. Murphy PB, Parry NG, Sela N, Leslie L, Vogt K, et al. Intra-Abdominal Hypertension is more common than previously thought: a prospective study in a mixed medical surgical ICU. Crit Care Med. 2018;46(6):958–64.

    Article  Google Scholar 

  9. Van Damme L, & De Waele JJ. Effect of decompressive laparotomy on organ function in patients with abdominal compartment syndrome: a systematic review and meta-analysis. Crit Care. 2018;22(1):179. https://doi.org/10.1186/s13054-018-2103-0 . Available from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6060511/

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marialice Gulledge .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2021 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Gulledge, M., Lauer, C.W. (2021). Decompressive Laparotomy. In: Taylor, D.A., Sherry, S.P., Sing, R.F. (eds) Interventional Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-64661-5_32

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-64661-5_32

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-64660-8

  • Online ISBN: 978-3-030-64661-5

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics