Abstract
Patients suffering from abdominal sepsis are at increased risk of developing intra-abdominal hypertension and abdominal compartment syndrome, which will lead to additional organ dysfunction when left untreated. Patients with severe disease requiring large-volume fluid resuscitation appear to be at the highest risk, and preventive measures should be considered in these situations. A high index of suspicion and intra-abdominal pressure measurement will point the clinician to patients in whom interventions to reduce the intra-abdominal pressure are necessary. Leaving the abdomen open postoperatively may prevent abdominal compartment syndrome, and modern temporary abdominal closure techniques appear to be safe and efficient.
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De Waele, J.J. (2018). Impact and Management of Abdominal Compartment Syndrome in Patients with Abdominal Sepsis. In: Sartelli, M., Bassetti, M., Martin-Loeches, I. (eds) Abdominal Sepsis. Hot Topics in Acute Care Surgery and Trauma. Springer, Cham. https://doi.org/10.1007/978-3-319-59704-1_24
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