2,373 results match your criteria Compartment Syndrome Abdominal


Coronavirus disease 2019 (COVID-19): challenges and management of aerosol-generating procedures in dentistry.

Evid Based Dent 2020 Jun;21(2):44-45

Oral Microbiologist, University of Health Sciences, Lahore, Pakistan.

Data sources Experimental investigation.Study design A retrospective review to evaluate the use of a negative-pressure otolaryngology viral isolation drape (NOVID) system to reduce cross-infection through aerosol. The apparatus consists of a plastic drape suspended over the surgical field in the head and neck region with a smoke evacuator suction placed inside the chamber with an ultra-low penetrating air (ULPA) efficiency rating and a fluid suction high-efficiency particulate air (HEPA) filter compartment. Read More

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http://dx.doi.org/10.1038/s41432-020-0088-4DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7317264PMC

Diffuse infantile hepatic hemangiomas in a patient with Beckwith-Wiedemann syndrome: A new association?

Am J Med Genet A 2020 Jun 23. Epub 2020 Jun 23.

Rare Diseases and Clinical Genetics Unit, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy.

Beckwith-Wiedemann syndrome (BWS) is an overgrowth syndrome, caused by alterations in a cluster of imprinted genes located within the chromosome region 11p15.5. Common clinical features are overgrowth, macroglossia, lateralized overgrowth, abdominal wall defects, neonatal hypoglycemia and an increased risk of embryonal tumors, such as hepatoblastomas. Read More

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http://dx.doi.org/10.1002/ajmg.a.61718DOI Listing

Management of acute extensive portal vein thrombosis: the complexity and morbidity.

BMJ Case Rep 2020 Jun 21;13(6). Epub 2020 Jun 21.

Department of Surgery, Westmead Hospital, Westmead, New South Wales, Australia.

A 62-year-old patient was admitted with an acute unprovoked portal vein thrombosis with splenic and mesenteric extension. His progress was complicated by progressive small bowel ischaemia and increasing clot burden despite systemic anticoagulation. This case report describes the use of catheter-directed thrombolysis via a transjugular intrahepatic portosystemic shunt, with the disease and its treatment complicated by a ruptured iatrogenic pseudoaneurysm, abdominal compartment syndrome and small bowel infarction necessitating extensive small bowel resection. Read More

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http://dx.doi.org/10.1136/bcr-2020-234282DOI Listing

[Indications for Surgical and Interventional Therapy of Acute Pancreatitis].

Zentralbl Chir 2020 Jun 18. Epub 2020 Jun 18.

Klinik für Allgemein-, Viszeral- und Thoraxchirurgie, Städtisches Klinikum Dresden-Friedrichstadt, Deutschland.

Background: 15 to 20% of patients with acute pancreatitis develop necrosis of the pancreatic parenchyma or extrapancreatic tissue. The disease is associated with a mortality rate of up to 20%. The mainstays of treatment consist of intensive medical care and surgical and interventional therapy. Read More

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http://dx.doi.org/10.1055/a-1164-7099DOI Listing

Wunderlich syndrome secondary to cyst rupture and concurrent anticoagulation.

Can J Urol 2020 Jun;27(3):10270-10272

Department of Urology, Tan Tock Seng Hospital, Singapore.

Wunderlich syndrome (WS) is a rare triad of flank pain, flank mass and hypovolemic shock and is classically attributed to angiomyolipomata or neoplasms. Treatment is guided by clinical severity: conservative, selective arterial embolization, or nephrectomy. We report an atypical case of a 69-year old man with a pre-existing 9 cm left renal tumor who developed WS secondary to anticoagulation and simple cyst rupture from his contralateral kidney, complicated by abdominal compartment syndrome with hemodynamic instability despite inotropic support and robust resuscitation. Read More

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Vipera snakebite in Europe: a systematic review of a neglected disease.

J Eur Acad Dermatol Venereol 2020 Jun 12. Epub 2020 Jun 12.

Centro Oncologico ad Alta Tecnologia Diagnostica, Azienda Unità Sanitaria Locale - IRCCS di Reggio Emilia, Reggio Emilia, Italy.

In 2009, snakebites were included in the list of the World Health Organization (WHO) neglected diseases. Dermatological literature lacks current and up to date articles about snakebites and their management, despite the fact that dermatologists, especially from rural hospitals, can be called into the emergency room to consult the management of suspected snakebites. In this systematic review, we highlighted the main clinical and laboratory aspects of snakebites from Vipera spp. Read More

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http://dx.doi.org/10.1111/jdv.16722DOI Listing

[A comparative study of "constant volume" animal model and "constant pressure" animal model of intra-abdominal hypertension].

Zhonghua Wei Zhong Bing Ji Jiu Yi Xue 2020 Apr;32(4):498-501

Department of Tumor Surgery, the Affiliated Hospital of Shanxi Datong University, Datong 037005, Shanxi, China. Corresponding author: Wang Hongye, Email:

Objective: To select the animal model more consistent with the pathophysiology of abdominal compartment syndrome (ACS) through the comparative study of the methods of multiple water sacs superimposed compression and gas perfusion.

Methods: Ten experimental pigs were randomly divided into two groups (n = 5): the "constant volume model" (constant volume model group) and the "constant pressure model" (constant pressure model group) of intra-abdominal hypertension. The models were prepared by the method of water sac superposition and pressurization, and artificial pneumoperitoneum respectively. Read More

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http://dx.doi.org/10.3760/cma.j.cn121430-20200227-00201DOI Listing

Abdominal compartment syndrome after r-EVAR: a systematic review with meta-analysis on incidence and mortality.

Int Angiol 2020 Jun 9. Epub 2020 Jun 9.

Faculty of Medicine of Porto, Porto, Portugal.

Introduction: Endovascular aneurysm repair for ruptured abdominal aortic aneurysms (r-EVAR) sometimes complicates with abdominal compartment syndrome (ACS) due to extensive retroperitoneal hematoma, with significant prognostic implications. This systematic review aimed to analyze the incidence of the syndrome and assess the impact of ACS on mortality. Mortality after decompressive laparotomy was also assessed. Read More

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http://dx.doi.org/10.23736/S0392-9590.20.04406-5DOI Listing

Treatment Strategy of Endovascular versus Open Repair for Ruptured Abdominal Aortic Aneurysm Based on the Fitzgerald Classification.

Ann Vasc Surg 2020 Jun 4. Epub 2020 Jun 4.

Department of Cardiovascular Surgery, Hakodate Municipal Hospital, Hakodate, Japan.

Background: The Fitzgerald classification expresses the extension of hematoma from the ruptured abdominal aortic aneurysm (rAAA) and is related to a patient's preoperative status. The objective of this study was to propose a new decision-making method for emergency surgeries, endovascular aortic repair (EVAR), or open repair (OR) for rAAA based on the Fitzgerald classification using preoperative computed tomography images.

Materials And Methods: A multicenter observational study was performed with a questionnaire survey of rAAA from August 2010 to July 2015 in Hokkaido, Japan, and sent to 20 institutions participating in the Hokkaido Society of Aortic Stent Graft. Read More

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http://dx.doi.org/10.1016/j.avsg.2020.05.068DOI Listing

Abdominal Wall Defects.

Neoreviews 2020 Jun;21(6):e383-e391

Division of Pediatric Surgery, Children's Hospital, University of Missouri, Columbia, MO.

The 2 most common congenital abdominal wall defects are gastroschisis and omphalocele. Both are usually diagnosed prenatally with fetal ultrasonography, and affected patients are treated at a center with access to high-risk obstetric services, neonatology, and pediatric surgery. The main distinguishing features between the 2 are that gastroschisis has no sac and the defect is to the right of the umbilicus, whereas an omphalocele typically has a sac and the defect is at the umbilicus. Read More

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http://dx.doi.org/10.1542/neo.21-6-e383DOI Listing

Acute compartment syndrome in the limb.

Br J Hosp Med (Lond) 2020 May 18;81(5):1-6. Epub 2020 May 18.

Department of Trauma and Orthopaedics, Hillingdon Hospital, London, UK.

Compartment syndrome of the limb is a true orthopaedic emergency that warrants prompt evaluation and treatment. Acute compartment syndrome of the limb is not uncommon and has the potential to cause devastating morbidity and mortality. Failure to provide urgent surgical intervention once established can lead to irreversible tissue damage within hours of onset. Read More

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http://dx.doi.org/10.12968/hmed.2020.0005DOI Listing

Effect of Stiffness of Large Extravascular Hematomas on Their Susceptibility to Boiling Histotripsy Liquefaction in Vitro.

Ultrasound Med Biol 2020 Aug 20;46(8):2007-2016. Epub 2020 May 20.

Department of Radiology, University of Washington, Seattle, Washington, USA.

Large intra-abdominal, retroperitoneal and intramuscular hematomas are common consequences of sharp and blunt trauma and post-surgical bleeds, and often threaten organ failure, compartment syndrome or spontaneous infection. Current therapy options include surgical evacuation and placement of indwelling drains that are not effective because of the viscosity of the organized hematoma. We have previously reported the feasibility of using boiling histotripsy (BH)-a pulsed high-intensity focused ultrasound method-for liquefaction of large volumes of freshly coagulated blood and subsequent fine-needle aspiration. Read More

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http://dx.doi.org/10.1016/j.ultrasmedbio.2020.04.023DOI Listing

Role of Static and Dynamic Intra-abdominal Pressure Monitoring in Acute Pancreatitis: A Prospective Study on Its Impact.

Pancreas 2020 May/Jun;49(5):663-667

From the Institute of Gastrosciences and Liver.

Objective: This study was aimed to determine the relationship between static and dynamic intra-abdominal pressure (IAP) with the mortality and outcome of acute pancreatitis.

Methods: From July 2017 to December 2018, 150 patients admitted at the Institute of Gastrosciences and Liver and diagnosed as acute pancreatitis were included in the study. Intra-abdominal pressure was measured for the first few days, and mean value of day 1 (static IAP) and highest value on day 2 and day 3 (dynamic IAP) were calculated and categorized into intra-abdominal hypertension and abdominal compartment syndrome. Read More

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http://dx.doi.org/10.1097/MPA.0000000000001544DOI Listing

Abdominal compartment syndrome following posterior lumbar fusion in a patient with previous abdominal surgery.

Spinal Cord Ser Cases 2019 05 16;5(1):47. Epub 2019 May 16.

Department of Neurosurgery, Gangnam Severance Hospital, Spine and Spinal Cord Institute, Yonsei University College of Medicine, 211 Eonjuro, Gangnam-gu, Seoul, 06273, Korea.

Introduction: Perioperative complications associated with spinal fusion have been investigated steadily to reduce morbidity and mortality. Although there are several reports reviewing abdominal complications occurring with anterior spinal fusion, complications related to posterior spinal fusion (PSF) are rare. However, abdominal compartment syndrome (ACS) after PSF could be the most fatal and unpredictable complication in spinal surgery. Read More

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http://dx.doi.org/10.1038/s41394-019-0191-yDOI Listing

MECCIAS trial: Metabolic consequences of continuous veno-venous hemofiltration on indirect calorimetry.

Clin Nutr 2020 Apr 21. Epub 2020 Apr 21.

Intensive Care, UZ Brussel, Laarbeeklaan 101, 1090 Jette, Belgium; Department of Nutrition, Laarbeeklaan 101, 1090 Jette, Belgium; Vrije Universiteit Brussels, Laarbeeklaan 101, 1090 Brussels, Belgium.

Background: and aims: Caloric prescription based on resting energy expenditure (REE) measured with indirect calorimetry (IC) improves outcome and is the gold standard in nutritional therapy of critically ill patients. Until now continuous renal replacement therapy (CRRT) precluded the use of IC due to several mechanisms. We investigated the impact of CRRT on V̇CO, V̇O and REE to facilitate indirect calorimetry during CRRT. Read More

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http://dx.doi.org/10.1016/j.clnu.2020.04.017DOI Listing

Characteristics of patients with C1 esterase inhibitor deficiency: a single center study.

Eur Ann Allergy Clin Immunol 2020 04 30. Epub 2020 Apr 30.

Department of Pediatrics, Division of Pediatric Immunology, Hacettepe University Medical School, Ankara, Turkey.

Summary: Hereditary angioedema (HAE) is a primary complement factor deficiency, characterized by recurrent submucosal/subcutaneous swelling episodes. SERPING1 gene defects encoding C1 esterase inhibitor (C1INH) are responsible from the disease. Fifteen patients with HAE are retrospectively evaluated in this study. Read More

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http://dx.doi.org/10.23822/EurAnnACI.1764-1489.146DOI Listing

Hydrops fetalis and neonatal abdominal compartment syndrome continuum from immature gastric teratoma: a case report.

BMC Pediatr 2020 Apr 27;20(1):186. Epub 2020 Apr 27.

Philippine General Hospital, Manila, Philippines.

Background: Hydrops fetalis as well as abdominal compartment syndrome (ACS) are conditions that are associated with high mortality rates. A rare case of immature gastric teratoma causing fetal hydrops and subsequent ACS is presented. The related pathophysiologic mechanisms are discussed, and the importance of timely recognition and appropriate interventions are highlighted. Read More

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http://dx.doi.org/10.1186/s12887-020-02090-0DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7184682PMC

Comparison of right lateral versus left lateral versus sternal recumbence intra-abdominal pressure measurements in normal dogs.

J Vet Emerg Crit Care (San Antonio) 2020 May 24;30(3):249-253. Epub 2020 Apr 24.

Department of Veterinary Medicine and Surgery, University of Missouri College of Veterinary Medicine, 900 East Campus Drive, Columbia, Missouri, 65211, United States.

Objective: To determine if there is a difference in intra-abdominal pressure (IAP) among 3 anatomic body positions (right lateral, left lateral, and sternal recumbence) in apparently healthy dogs.

Design: Prospective, observational study.

Setting: University Veterinary Medical Teaching Hospital. Read More

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http://dx.doi.org/10.1111/vec.12953DOI Listing

Intestinal epithelial barrier and neuromuscular compartment in health and disease.

World J Gastroenterol 2020 Apr;26(14):1564-1579

Department of Clinical and Experimental Medicine, University of Pisa, Pisa 56126, Italy.

A number of digestive and extra-digestive disorders, including inflammatory bowel diseases, irritable bowel syndrome, intestinal infections, metabolic syndrome and neuropsychiatric disorders, share a set of clinical features at gastrointestinal level, such as infrequent bowel movements, abdominal distension, constipation and secretory dysfunctions. Several lines of evidence indicate that morphological and molecular changes in intestinal epithelial barrier and enteric neuromuscular compartment contribute to alterations of both bowel motor and secretory functions in digestive and extra-digestive diseases. The present review has been conceived to provide a comprehensive and critical overview of the available knowledge on the morphological and molecular changes occurring in intestinal epithelial barrier and enteric neuromuscular compartment in both digestive and extra-digestive diseases. Read More

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http://dx.doi.org/10.3748/wjg.v26.i14.1564DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7167418PMC

Peripartum Severe Acute Pancreatitis with Rare Complications: Case Report and Review of Literature.

Case Rep Surg 2020 2;2020:5785413. Epub 2020 Apr 2.

Department of Acute Care Surgery, Hamad Medical Corporation, Doha, Qatar.

Peripartum pancreatitis is a rare clinical condition that occurs usually in the third trimester of pregnancy. Pancreatitis is usually secondary to gallstones, and it can lead to life-threatening and rare complications. We report a case of necrotizing postpartum pancreatitis that developed abdominal compartment syndrome (ACS) in early course, posterior reversible encephalopathy syndrome (PRES), and splanchnic and extrasplanchnic thrombosis later on. Read More

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http://dx.doi.org/10.1155/2020/5785413DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7157796PMC

Initially elevated arterial lactate as an independent predictor of poor outcomes in severe acute pancreatitis.

BMC Gastroenterol 2020 Apr 19;20(1):116. Epub 2020 Apr 19.

Department of Gastroenterology, The First Affiliated Hospital of Nanchang University, 17 Yongwaizheng Street, Nanchang, Jiangxi, 330006, PR China.

Background: The present study aimed to investigate the relationships between arterial lactate levels and outcomes in severe acute pancreatitis.

Methods: The study retrospectively analyzed the medical data of 329 patients with severe acute pancreatitis from January 2014 to February 2019. We compared baseline characteristics, laboratory data, severity scores, types of persistent organ failure, and primary and secondary outcomes of patients with and without elevated arterial lactate levels at admission. Read More

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http://dx.doi.org/10.1186/s12876-020-01268-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7168869PMC

The Correlation of Intraabdominal Pressure With Renal Resistive Index.

J Surg Res 2020 Aug 15;252:240-246. Epub 2020 Apr 15.

Department of Surgery, University of Health Sciences, Ankara Diskapi Teaching and Research Hospital, Ankara, Turkey.

Background: To evaluate the correlation between intraabdominal pressure (IAP) measured via the bladder and renal resistive index (RRI) measured by Doppler ultrasonography (USG).

Methods: Eighty consecutive surgical patients were included into this study. Before Doppler USG evaluation, IAP was measured by a Foley catheter via the bladder. Read More

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http://dx.doi.org/10.1016/j.jss.2020.03.024DOI Listing

PROTOCOLS FOR DIAGNOSIS AND MANAGEMENT OF INTRA-ABDOMINAL HYPERTENSION IN INTENSIVE CARE UNITS.

Rev Col Bras Cir 2020 Jan-Fev;47:e20202378

Universidade Federal do Estado do Rio de Janeiro, Hospital Universitário Gaffrée e Guinle, DECIGE - Rio de janeiro - RJ - Brasil.

Objectives: Intra-abdominal hypertension (IAH) is a common morbid condition in critically ill patients. Abdominal compartment syndrome (ACS) is a severe condition that requires surgical treatment, and it is an evolution of undiagnosed and untreated IAH. This study aims to highlight the importance of clinical evidence, and proposes screening as well as medical protocols for IAH and ACS, in intensive care units. Read More

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http://dx.doi.org/10.1590/0100-6991e-20202415DOI Listing

Effect of moderate elevated intra-abdominal pressure on lung mechanics and histological lung injury at different positive end-expiratory pressures.

PLoS One 2020 15;15(4):e0230830. Epub 2020 Apr 15.

Department of Anesthesiology and Intensive Care Medicine, Hospital Bergstrasse, Heppenheim, Germany.

Introduction: Intra-abdominal hypertension (IAH) is a well-known phenomenon in critically ill patients. Effects of a moderately elevated intra-abdominal pressure (IAP) on lung mechanics are still not fully analyzed. Moreover, the optimal positive end-expiratory pressure (PEEP) in elevated IAP is unclear. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0230830PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7159202PMC

Successful Endovascular Treatment of a Ruptured Giant Lumbar Arteriovenous Malformation.

Vasc Specialist Int 2020 Mar;36(1):33-37

Department of Vascular Surgery, St. Gallen Cantonal Hospital, St. Gallen, Switzerland.

Arteriovenous malformations (AVMs) are rare congenital vascular anomalies where rupture can be fatal. This report describes a case of a 69-year-old woman who presented with sudden severe lower back pain radiating to her left buttock and thigh and an inability to move her left leg. Computed tomography angiography (CTA) showed an extensive ruptured retroperitoneal AVM on the left paravertebral side with active bleeding and a large hematoma. Read More

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http://dx.doi.org/10.5758/vsi.2020.36.1.33DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7119147PMC

Abdominal compartment syndrome secondary to myxedema ileus.

Ci Ji Yi Xue Za Zhi 2019 Apr-Jun;32(2):219-221. Epub 2019 Apr 23.

Department of General Surgery, IGMC, Shimla, Himachal Pradesh, India.

Acute pseudo-obstruction of the colon is known as Ogilvie syndrome (OS). There are varied causes of OS. Myxedema ileus (MI) as a cause of acute pseudo-obstruction is rare. Read More

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http://dx.doi.org/10.4103/tcmj.tcmj_31_19DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7137358PMC

Multifocal infantile haemangiomatosis with hepatic involvement: two cases and treatment management.

Drugs Context 2020 26;9. Epub 2020 Mar 26.

Paediatric Oncology Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica Sacro Cuore, Largo A. Gemelli 8, 00168 Rome, Italy.

Infantile haemangiomas (IHs) are the most common benign tumours of childhood; despite the benign histology, prognosis depends on severity of visceral involvement, with a mortality rate ranging from 50 to 90%. In this paper, we describe two infants with multifocal infantile haemangiomatosis and hepatic involvement. This condition should receive appropriate management as it can be potentially lethal due to the high risk of systemic complications such as cardiac or fulminant hepatic failure and abdominal compartment syndrome. Read More

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http://dx.doi.org/10.7573/dic.2019-11-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7104684PMC

Does a staged treatment of high energy tibial plateau fractures affect functional results and bony union? A case series.

Chin J Traumatol 2020 Apr 2. Epub 2020 Apr 2.

Department of Orthopedics, All India Institute of Medical Sciences, Jodhpur 342005, India.

Purpose: Tibial plateau fracture (TPF) is a devastating injury as it shatters lower articular surface of the largest joint. Apart from bony injury, TPF can lead to great soft tissue envelope compromise which affects the treatment plan and outcome. In the present study, clinical results were assessed in cases of high energy TPFs treated in staged manner. Read More

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http://dx.doi.org/10.1016/j.cjtee.2020.03.002DOI Listing

Use of Nonvascularized Fascia in Liver Transplantation.

Transplant Proc 2020 Jun 21;52(5):1468-1471. Epub 2020 Mar 21.

General Surgery Department. HPB Surgery and Abdominal Organ Transplantation Unit. "Doce de Octubre" University Hospital, Instituto de Investigación (imas12), Complutense University Madrid, Madrid, Spain.

Abdominal wall transplant is developed in the context of intestinal and multivisceral transplant, in which it is often impossible to perform a primary wall closure. Despite the fact that abdominal wall closure is not as consequential in liver transplant, there are circumstances in which it might determine the success of the liver graft, especially in situations that compromise the abdominal cavity and facilitate an abdominal compartment syndrome. CASE 1: A 14-year-old girl suffering from cryptogenic cirrhosis with severe portal hypertension that causes ascites and severe malnutrition. Read More

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http://dx.doi.org/10.1016/j.transproceed.2020.01.081DOI Listing

A Clinician's Guide to Management of Intra-abdominal Hypertension and Abdominal Compartment Syndrome in Critically Ill Patients.

Crit Care 2020 03 24;24(1):97. Epub 2020 Mar 24.

Department of Critical Care Medicine, Ghent University Hospital, Ghent, Belgium.

This article is one of ten reviews selected from the Annual Update in Intensive Care and Emergency Medicine 2020. Other selected articles can be found online at https://www.biomedcentral. Read More

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http://dx.doi.org/10.1186/s13054-020-2782-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7092484PMC

Abdominal Compartment Syndrome: diagnostic evaluation and possible treatment.

Clin Ter 2020 Mar-Apr;171(2):e156-e160

Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo.

Background: Abdominal compartment syndrome (ACS) is a clinical condition caused by an increase in intra-abdominal pressure. The incidence is variable, based on the type of patients taken into consideration, increasing exponentially in critical conditions, such as traumatized, burned patients in shock. The syndrome can also follow surgical procedures like transplantation of abdominal organs, for example configuring rare pictures such as RACS (post-transplant kidney syndrome). Read More

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http://dx.doi.org/10.7417/CT.2020.2206DOI Listing

Mechanical ventilation as a surrogate for diagnosing the onset of abdominal compartment syndrome (ACS) in severely burned patients (TIRIFIC-study Part II).

Burns 2020 Feb 28. Epub 2020 Feb 28.

Dpt. of Hand, Plastic and Reconstructive Surgery, Microsurgery, Burn Center, BG Trauma Center Ludwigshafen, University of Heidelberg, Germany. Electronic address:

Intra-abdominal compartment syndrome (ACS) is a devastating complication in burn patients with a high mortality. Apart from high-volume resuscitation as known risk factor, also mechanical ventilation seems to influence the development of ACS. The TIRIFIC trial is a retrospective, matched-pair analysis. Read More

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http://dx.doi.org/10.1016/j.burns.2020.02.005DOI Listing
February 2020

Successful management of a rare and fatal complication of cardiac catheterization: Abdominal compartment syndrome.

Anatol J Cardiol 2020 02;23(3):187-188

Department of Cardiology, Health Sciences University Koşuyolu Heart Training and Research Hospital; İstanbul-Turkey.

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http://dx.doi.org/10.14744/AnatolJCardiol.2019.96049DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7222635PMC
February 2020

Abdominal compartment syndrome and decompressive laparotomy in children: a 9-year single-center experience.

Pediatr Surg Int 2020 Apr 28;36(4):513-521. Epub 2020 Feb 28.

Department of Pediatric Surgery, University Children's Hospital Zurich, Zurich, Switzerland.

Purpose: Abdominal compartment syndrome (ACS) in children results in 100% mortality if left untreated. Decompressive laparotomy (DL) is the only effective treatment if conservative medical therapies have failed. This study aims to determine the incidence of ACS among pediatric patients who underwent an emergency laparotomy (EL), to describe the effect of DL on clinical and laboratory parameters and, to make a better prediction on fatal outcome, to analyze variables and their association with mortality. Read More

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http://dx.doi.org/10.1007/s00383-020-04632-0DOI Listing

Risk factors for developing acute compartment syndrome in the pediatric population: a systematic review and meta-analysis.

Eur J Orthop Surg Traumatol 2020 Jul 27;30(5):839-844. Epub 2020 Feb 27.

Department of Orthopaedic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, MA, USA.

Purpose: Acute compartment syndrome (ACS) is often difficult to diagnose in pediatric patients due to their erratic symptomatology. Therefore, it is of paramount importance to identify at-risk patients to facilitate a prompt diagnosis. This study aims to identify risk factors for the development of ACS in the pediatric population. Read More

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http://dx.doi.org/10.1007/s00590-020-02643-0DOI Listing

Systemic Lupus Erythematosus Presenting with Ischemic Proctitis and Abdominal Compartment Syndrome.

Case Rep Gastrointest Med 2020 13;2020:5723403. Epub 2020 Feb 13.

Department of Medicine, Section of Pulmonary and Critical Care Medicine, West Virginia University, Morgantown, WV, USA.

Ischemic colitis and proctitis is a rare manifestation of systemic lupus erythematosus (SLE) and results from mesenteric vasculitis. Owing to diverse blood supply and presence of multiple collaterals, rectum is the least effected site in SLE enteritis. Ischemic proctocolitis as the presenting feature of SLE is exceedingly rare, with only three cases reported in the published scientific literature. Read More

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http://dx.doi.org/10.1155/2020/5723403DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7040385PMC
February 2020

Comparison of Three Devices to Measure Pressure for Acute Compartment Syndrome.

Mil Med 2020 01;185(Suppl 1):77-81

McGill University Health Center Research Institute, Montreal General Hospital, 1650 Cedar Ave, Montreal, QC H3G1A4.

Introduction: Acute compartment syndrome (ACS) is a well-recognized and common emergency. Undiagnosed ACS leads to muscle necrosis, limb contracture, intractable pain, and may even result in amputation.

Methods: Three devices (Synthes, Stryker, and MY01) were compared in a pre-clinical rat abdominal compartment syndrome simulation. Read More

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http://dx.doi.org/10.1093/milmed/usz305DOI Listing
January 2020

Recognizable neonatal clinical features of aplasia cutis congenita.

Ital J Pediatr 2020 Feb 18;46(1):25. Epub 2020 Feb 18.

Neonatal Intensive Care Unit, AOUP "P. Giaccone" Department of Health Promotion, Mother and Child Care, Internal Medicine and Medical Specialties "G. D'Alessandro", University of Palermo, Via Alfonso Giordano n. 3, 90127, Palermo, Italy.

Background: Aplasia cutis congenita (ACC), classified in nine groups, is likely to be underreported, since milder isolated lesions in wellbeing newborns could often be undetected, and solitary lesions in the context of polymalformative syndromes could not always be reported. Regardless of form and cause, therapeutic options have in common the aim to restore the deficient mechanical and immunological cutaneous protection and to limit the risk of fluid leakage or rupture of the exposed organs. We aimed to review our institutional prevalence, comorbidities, treatment and outcome of newborns with ACC. Read More

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http://dx.doi.org/10.1186/s13052-020-0789-5DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029587PMC
February 2020

A network-regulative pattern in the pathogenesis of kidney injury following severe acute pancreatitis.

Biomed Pharmacother 2020 May 12;125:109978. Epub 2020 Feb 12.

Key Laboratory of Diagnosis and Treatment of Severe Hepato-Pancreatic Diseases of Zhejiang Province, The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, 325000, China; Institute of Kidney Health, Center for Health Assessment, Wenzhou Medical University, Wenzhou, 325000, China. Electronic address:

Severe acute pancreatitis (SAP), a critical inflammatory pathological disease of the pancreas, is crucial for the manifestation of lethal multiple organ dysfunction syndrome and systemic inflammatory response syndrome. Acute kidney injury (AKI) is one of the most severe complications of severe acute pancreatitis. Yet, the specific pathogenesis of AKI following SAP is defectively understood, and involves in multiple pathological processes in a "network-regulative" pattern, including dysfunction of the intestinal barrier, prolonged activation of coagulation, elevated discharge of damage-associated molecular patterns, complication of abdominal compartment syndrome, excessive release of inflammatory mediators, overexpression of procalcitonin, and incitement of chronic metabolic diseases. Read More

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http://dx.doi.org/10.1016/j.biopha.2020.109978DOI Listing

Retrospective Validation of an Algorithmic Treatment Pathway for Necrotizing Pancreatitis.

Am Surg 2019 Aug;85(8):840-847

The role of surgical intervention for necrotizing pancreatitis has evolved; however, no widely accepted algorithm has been established to guide timing and optimal modality in the minimally invasive era. This study aimed to retrospectively validate an established institutional timing- and physiologic-based algorithm constructed from evidence-based guidelines in a high-volume hepatopancreatobiliary center. Patients with necrotizing pancreatitis requiring early (≤six weeks from symptom onset) or delayed (>six weeks) surgical intervention were reviewed over a four-year period (n = 100). Read More

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Entero-atmospheric fistula migration: a new management alternative for complex septic open abdomen.

Anaesthesiol Intensive Ther 2020 ;52(1):56-62

Department of Surgery, Meilahti Hospital, University of Helsinki, Finland.

The open abdomen technique is a surgical strategy used in life-threatening conditions. After recognizing the morbidity and mortality attributed to abdominal compartment syndrome (ACS), several methods were developed to avoid this complication. The primary goal of temporary abdominal closure (TAC) is to create a tension-free closure of the abdomen without increasing intra-abdominal pressure. Read More

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http://dx.doi.org/10.5114/ait.2020.92748DOI Listing
January 2020

Right Colectomy with Absorbable Mesh Repair as a Salvage Solution for the Management of Giant Incisional Hernia with Loss of Domain: Results of a Bicentric Study.

World J Surg 2020 Jun;44(6):1762-1770

Department of Digestive and Bariatric Surgery, Hospices Civils de Lyon, Hôpital Edouard Herriot, Lyon, France.

Background: Incisional hernia (IH) may occur in 20% of patients after laparotomy. The hernia sac volume may be of significance, with reintegration of visceral contents potentially leading to repair failure or abdominal compartment syndrome. The present study aimed to evaluate a two-step surgical strategy comprising right colectomy for hernia reduction with synchronous absorbable mesh repair followed by definitive non-absorbable mesh repair in recurrence. Read More

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http://dx.doi.org/10.1007/s00268-020-05395-4DOI Listing

Bench Validation of a Handcrafted Prototype Catheter for Intra-gastric Pressure Monitoring.

World J Surg 2020 Jun;44(6):1706-1711

School of Medicine, Universidad ICESI, Calle 18 No. 122-135, Cali, Colombia.

Background: Abdominal compartment syndrome is a sustained intra-abdominal pressure (IAP) >20 mm Hg associated with new organ dysfunction. In order to prevent its development and related complications, IAP monitoring should be performed in patients with risk factors. Although techniques for its monitoring have been developed, they are of high cost and not always available in low- and lower-middle-income countries. Read More

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http://dx.doi.org/10.1007/s00268-020-05392-7DOI Listing

Transinguinal preperitoneal repair of giant inguinoscrotal hernias using Kugel mesh.

J Visc Surg 2020 Jan 30. Epub 2020 Jan 30.

Department of General surgery, Fujian Medical University Union Hospital, Fuzhou, Fujian, PR China. Electronic address:

Introduction: Giant inguinoscrotal hernias are rarely encountered in clinical settings, and their repair is technically challenging. The aim of this study is to evaluate the efficacy of transinguinal preperitoneal repair (TIPP) of giant inguinoscrotal hernias using Kugel mesh.

Methods: A retrospective analysis was conducted on 9 patients with 11 giant inguinoscrotal hernias who underwent TIPP repair using Kugel mesh between December 2008 and January 2019. Read More

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http://dx.doi.org/10.1016/j.jviscsurg.2020.01.007DOI Listing
January 2020

Intra-abdominal Hypertension and the Open Abdomen: Nursing Guidelines From the Abdominal Compartment Society.

Crit Care Nurse 2020 Feb;40(1):13-26

Leanne Hunt is a senior lecturer at Western Sydney University and a registered nurse at Liverpool Hospital, Sydney, Australia.

Intra-abdominal hypertension has been identified as an independent risk factor for death in critically ill patients. Known risk factors for intra-abdominal hypertension indicate that intra-abdominal pressures should be measured and monitored. The Abdominal Compartment Society has identified medical and surgical interventions to relieve intra-abdominal hypertension or to manage the open abdomen if abdominal compartment syndrome occurs. Read More

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http://dx.doi.org/10.4037/ccn2020772DOI Listing
February 2020

Evaluation and management of intraabdominal hypertension.

Curr Opin Crit Care 2020 Apr;26(2):192-196

Department of Surgery George Washington University, Center for Trauma and Critical Care, Washington, District of Colombia, USA.

Purpose Of Review: The purpose of this review is to provide an overview of the pathophysiology of intraabdominal hypertension/compartment syndrome and to review the recent advances in the areas of evaluation and management of this disorder.

Recent Findings: The incidence of intraabdominal hypertension (IAH) in intensive care units is as high as 45%, an incidence much higher than initially suspected. Despite decompressive laparotomy as a treatment, mortality in patients who developed abdominal compartment syndrome (ACS) requiring this procedure is as high as 50%. Read More

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http://dx.doi.org/10.1097/MCC.0000000000000701DOI Listing