World Journal of Surgery

, Volume 33, Issue 6, pp 1134–1141 | Cite as

Postinjury Abdominal Compartment Syndrome: Are We Winning the Battle?

  • Zsolt J. Balogh
  • Karlijn van Wessem
  • Osamu Yoshino
  • Frederick A. Moore


Postinjury (primary) abdominal compartment syndrome (ACS) was described more than 15 years ago as severe abdominal distension with high peak airway pressures, CO2 retention, and oliguria, which led to unplanned re-exploration after damage-control laparotomy. Later, a more elusive type of ACS was recognized, which develops without abdominal injuries (secondary ACS). Both syndromes were recently characterized, their independent predictors were identified, and preventive strategies were developed to reduce their incidence. Once viewed as a syndrome with almost uniform mortality, systematic preventative strategies and therapeutic efforts have reduced the prevalence, morbidity, and mortality of the syndrome. This review was designed to summarize the recent advances in the management of ACS, to classify the currently available evidence, and to identify future directions of research and clinical care.



The authors thank Dr. Tim Pollitt for reviewing the manuscript.


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Copyright information

© Société Internationale de Chirurgie 2009

Authors and Affiliations

  • Zsolt J. Balogh
    • 1
  • Karlijn van Wessem
    • 1
  • Osamu Yoshino
    • 1
  • Frederick A. Moore
    • 2
  1. 1.Department of Traumatology, Division of SurgeryJohn Hunter Hospital and University of NewcastleNewcastleAustralia
  2. 2.Department of SurgeryMethodist Hospital, Texas Medical CenterHoustonUSA

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