-
Comparative Study
[Pathophysiology and clinical significance of the abdominal compartment syndrome].
- A C Grubben, A A van Baardwijk, D C Broering, and A G Hoofwijk.
- Maaslandziekenhuis Sittard, Abteilung für Chirurgie, Akademisches Lehrkrankenhaus der Universität Maastricht, Niederlande, Germany. grubben@usa.net
- Zentralbl Chir. 2001 Aug 1; 126 (8): 605-9.
AbstractDifferent causes, for example posttraumatic and postoperative complications, can lead to an elevated intra-abdominal pressure. Increased intraabdominal pressure effects cardiovascular, pulmonary and renal systems. The abdominal compartment syndrome can be defined as organ failure caused by an increased intra-abdominal pressure. Clinically the syndrome is characterised by a tensely distended abdomen, oliguria or anuria and/or inadequate ventilation. Early decompression by simple laparotomy and delayed closure is the treatment of choice. If untreated the abdominal compartment syndrome is lethal. Even treated it has a high morbidity and mortality as shown in our series where 2 out of 7 patients with this syndrome died despite surgical decompression.
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