Treatment of Abdominal Compartment Syndrome with Subcutaneous Anterior Abdominal Fasciotomy in Severe Acute Pancreatitis.

Autor:	Leppäniemi, Ari K., Hienonen, Piia A., Siren, Jukka E., Kuitunen, Anne H., Lindström, Outi K., Kemppainen, Esko A. J.
Předmět:	PANCREATITIS SUBCUTANEOUS surgery CASE studies ABDOMINAL diseases PANCREATIC diseases ABDOMINAL surgery
Zdroj:	World Journal of Surgery; Oct2006, Vol. 30 Issue 10, p1922-1924, 3p
Abstrakt:	Background: Managing the abdominal compartment syndrome associated with severe acute pancreatitis by the open abdomen method is associated with considerable morbidity and resource utilization. Methods: A technique of subcutaneous anterior abdominal fasciotomy is described for the first time in two patients with severe acute pancreatitis. Results: Following the procedure, the intra-abdominal pressure decreased from 30 mmHg immediately to 23 mmHg and to a sustained level of 12-14 mmHg in the first patient, and from 35 mmHg immediately to 23 mmHg and to a sustained level of 14-19 mmHg in the second patient. Conclusions: The subcutaneous anterior abdominal fasciotomy is a promising method for safe and effective abdominal decompression with sustained effect and avoiding the morbidity associated with the alternative open abdomen techniques. [ABSTRACT FROM AUTHOR]
Databáze:	Complementary Index
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