Abdominal Compartment Syndrome



The abdomen is a functional compartment with limited compliance. Increased sustained pressure in this compartment potentially leads to deleterious effects on several organ systems. The impairment to the cardiac, respiratory, gastrointestinal, and central nervous systems can often result in multiple organ dysfunction syndrome (MODS) and death. The establishment of damage control techniques with aggressive resuscitation requirements since the 1990s has led to the awareness of the abdominal compartment syndrome especially among trauma surgeons and surgical intensivists. Historically, however, surgeons have been aware of the effects of intra-abdominal hypertension since the mid-nineteenth century. As discussed briefly in Chap. 1, Fietsam coined the term abdominal compartment syndrome in 1989 in a paper outlining complications after repair of a ruptured abdominal aortic aneurysm repair.


Abdominal compartment syndrome Bladder pressure Decompressive laparotomy 


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Acute Care Surgery, Trauma and Surgical Critical CareFlorida State UniversityFort PierceUSA
  2. 2.Perelman School of Medicine, University of PennsylvaniaReading Hospital & Medical CenterWest ReadingUSA

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