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.
KeywordsAbdominal compartment syndrome Bladder pressure Decompressive laparotomy
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