Surgical Management of Intra-abdominal Hypertension and Abdominal Compartment Syndrome

被引：8
|
作者：
Anand, Rahul J. [1 ]
Ivatury, Rao R. [1 ]
机构：
[1] Virginia Commonwealth Univ, Dept Surg, Richmond, VA 23284 USA
来源：
AMERICAN SURGEON | 2011年 / 77卷 / 07期
关键词：
LINEA ALBA FASCIOTOMY; DECOMPRESSIVE LAPAROTOMY; TRAUMA; RESUSCITATION; SEPARATION;
D O I：
暂无
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
The initial management of intra-abdominal hypertension (IAH) is medical measures to reduce intra-abdominal pressure (IAP). These, in combination with percutaneous drainage of peritoneal free fluid, may serve to reduce IAH. If these measures fail, surgical decompression of the abdomen by laparotomy is necessary to control the IAP, search for and treat inciting factors, and reduce the hypertension. The abdomen is usually left open with temporary abdominal closure techniques. Surgical decompression of IAH associated with acute pancreatitis or secondary abdominal compartment syndrome has other surgical options besides a complete celiotomy. Attention to detail in surgical technique and postoperative care is essential for optimal outcome.
引用
收藏
页码：S42 / S45
页数：4
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