2,637 results match your criteria Compartment Syndrome Abdominal


Safe multidisciplinary approach in deeply infiltrating endometriosis (DIE): is it feasible?

JBRA Assist Reprod 2014 Dec 27;18(4):139-143. Epub 2014 Dec 27.

Department of Obstetrics and Gynecology, Federal University of Minas Gerais (UFMG) - Belo Horizonte/MG - Brazil.

Objective: Evaluate the type and incidence of postoperative complications after surgery for deep infiltrative endometriosis at Biocor Hospital.

Methods: Our observational study involved a multidisciplinary surgical team that performed laparoscopy on 154 patients suffering from pelvic pain. Surgical complications occurring up to the 30th postoperative day were recorded. Read More

View Article and Full-Text PDF
December 2014

Intra-Abdominal Hypertension: A Systemic Complication of Severe Acute Pancreatitis.

Medicina (Kaunas) 2022 Jun 10;58(6). Epub 2022 Jun 10.

Critical Care Unit and Gastroenterology Section, Department of Internal Medicine, Clinical Hospital, University of Chile, Santiago 8380456, Chile.

Patients with severe acute pancreatitis (SAP) present complications and organ failure, which require treatment in critical care units. These extrapancreatic complications determine the clinical outcome of the disease. Intra-abdominal hypertension (IAH) deteriorates the prognosis of SAP. Read More

View Article and Full-Text PDF

Emergency open drainage of massive hemoperitoneum and early stage left hepatectomy for abdominal compartment syndrome due to hepatocellular carcinoma rupture: a case report.

Surg Case Rep 2022 Jun 22;8(1):122. Epub 2022 Jun 22.

Department of Surgery, Hyogo Prefectural Amagasaki General Medical Center, 2-17-77, Higashinaniwa, Amagasaki, Hyogo, Japan.

Background: Spontaneous rupture is one of the most life-threatening complications of hepatocellular carcinoma (HCC). Transcatheter arterial embolization (TAE) effectively achieves hemostasis in patients with hemodynamic instability. However, there have been no reports of abdominal compartment syndrome (ACS) caused by massive intra-abdominal hematoma after TAE. Read More

View Article and Full-Text PDF

Adherence to burn resuscitation guidelines reduces resuscitation fluids and mortality.

J Burn Care Res 2022 Jun 16. Epub 2022 Jun 16.

Division of Plastic Surgery, Department of Surgery, University of British Columbia.

In our province, regional recommendations for optimal fluid resuscitation were published in 2011 to improve the management of acute burn patients prior to transfer to a specialized burn center. The purpose of this study was to determine compliance with these provincial burn resuscitation guidelines and their subsequent impact on patient outcomes. A retrospective review of patients transferred to the provincial burn center after being initially managed at peripheral sites was performed from 2011 - 2019. Read More

View Article and Full-Text PDF

Intra-abdominal hypertension in cardiac surgery patients: a multicenter observational sub-study of the Accuryn registry.

J Clin Monit Comput 2022 Jun 13. Epub 2022 Jun 13.

Department of Anesthesiology, Division of Critical Care Medicine, Emory University School of Medicine, Atlanta, GA, USA.

Intra-abdominal hypertension (IAH) is frequently present in the critically ill and is associated with increased morbidity and mortality. Conventionally, intermittent 'spot-check' manual measurements of bladder pressure in those perceived as high risk are used as surrogates for intra-abdominal pressure (IAP). True patterns of IAH remain unknown. Read More

View Article and Full-Text PDF

Trauma-induced capillary leak syndrome after penetrating chest injury: Manifestation of massive ascites and pulmonary secretions aggravated by transfusion.

Ulus Travma Acil Cerrahi Derg 2022 Jun;28(6):863-866

Department of Surgery, National Medical Center, Seoul-Korea.

Trauma with prolonged shock can cause systemic capillary leak syndrome regardless of the site of injury and a transfusion can aggravate it. The systemic capillary leak induces both an abdominal compartment syndrome and pulmonary edema, and a transfusion can aggra-vate these sequelae within hours. In our case, 21-year-old man with a penetrating injury in his left thorax experienced delay in rescue and definitive surgery. Read More

View Article and Full-Text PDF

Elevated intra-abdominal pressure: A review of current knowledge.

World J Clin Cases 2022 Apr;10(10):3005-3013

Department of Heart Diseases, Wroclaw Medical University, Wroclaw 50-367, Poland.

Elevated intra-abdominal pressure (IAP) is a known cause of increased morbidity and mortality among critically ill patients. Intra-abdominal hypertension (IAH) and abdominal compartment syndrome can lead to rapid deterioration of organ function and the development of multiple organ failure. Raised IAP affects every system and main organ in the human body. Read More

View Article and Full-Text PDF

In-hospital outcomes of ruptured abdominal aortic aneurysms: A single center experience.

J Cardiovasc Thorac Res 2022 6;14(1):61-66. Epub 2022 Mar 6.

Health policy Research Center, Institute of Health, Shiraz University of Medical Sciences, Shiraz, Iran.

Ruptured abdominal aortic aneurysm (RAAA) is a catastrophic condition with in-hospital mortalities up to 89%. Patient survival depends on multiple factors; however, prompt surgery is essential to prevent mortality. We report the in-hospital outcomes of RAAA at a high-volume and teaching vascular surgery center in Iran. Read More

View Article and Full-Text PDF

The Role of the Urinary Bladder in the Diagnosis of Abdominal Compartment Syndrome: A Prospective Study in Trauma Patients.

Cureus 2022 Apr 18;14(4):e24238. Epub 2022 Apr 18.

Emergency Medicine, Arrowhead Regional Medical Center, Colton, USA.

Purpose The aim of this study was to evaluate the accuracy of bladder pressures in the diagnosis and management of abdominal compartment syndrome (ACS). Methods After Institutional Review Board (IRB) approval, nine operative abdominal trauma patients were prospectively studied over an 18-month period. Bladder pressures were compared to pressures obtained from intra-operatively placed electronic transducer located in the pelvis. Read More

View Article and Full-Text PDF

Introducing a New Technique for Fascial Closure to Avoid Renal Allograft Compartment Syndrome in Pediatric Recipients: The Use of Tutoplast Fascia Lata.

Front Surg 2022 6;9:840055. Epub 2022 May 6.

Department Paediatric Urology, Charité Universitätsmedizin Berlin, Berlin, Germany.

Introduction: Renal allograft compartment syndrome (RACS) is a complication that infrequently occurs after renal transplantation. Tight muscle closure may lead to RACS due to compression of renal parenchyma or kinking of the renal vessels. Many techniques have been proposed in an attempt to achieve tension-free closure, which can be specially challenging in child recipients. Read More

View Article and Full-Text PDF

Preliminary study of reliability of transcutaneous sensors in measuring intraabdominal pressure.

Sci Rep 2022 May 18;12(1):8268. Epub 2022 May 18.

Department of Abdominal Surgery, University Medical Centre Ljubljana, Ljubljana, Slovenia.

Early recognition of elevated intraabdominal pressure (IAP) in critically ill patients is essential, since it can result in abdominal compartment syndrome, which is a life-threatening condition. The measurement of intravesical pressure is currently considered the gold standard for IAP assessment. Alternative methods have been proposed, where IAP assessment is based on measuring abdominal wall tension, which reflects the pressure in the abdominal cavity. Read More

View Article and Full-Text PDF

Low-Flow Acute Kidney Injury: The Pathophysiology of Prerenal Azotemia, Abdominal Compartment Syndrome, and Obstructive Uropathy.

Clin J Am Soc Nephrol 2022 May 18. Epub 2022 May 18.

Division of Nephrology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, and Department of Anatomy, Cell Biology and Integrative Physiology, Indiana University School of Medicine, Indianapolis, Indiana

AKI is a syndrome, not a disease. It results from many different primary and/or secondary etiologies and is often multifactorial, especially in the hospitalized patient. This review discusses the pathophysiology of three etiologies that cause AKI, those being kidney hypoperfusion, abdominal compartment syndrome, and urinary tract obstruction. Read More

View Article and Full-Text PDF

Intra-Abdominal Pressure Measurement Devices: A Technologic Analysis.

Authors:
Carolyn Crumley

J Wound Ostomy Continence Nurs 2022 May-Jun 01;49(3):220-225

Carolyn Crumley, DNP, RN, ACNS-BC CWOCN, Saint Luke's East Hospital, Lee's Summit, Missouri; University of Missouri Sinclair School of Nursing, Columbia; and Section Editor JWOCN Evidence-Based Report Card.

Purpose: The purpose of this Technologic Analysis is to review devices designed to measure intra-abdominal pressure (IAP); these devices are used to detect intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS).

Approach: Published literature focusing on devices designed to measure IAP was reviewed, comparing the options available and outlining recommendations for appropriate use. Safety information regarding IAP measurement devices was derived from the Manufacturer and User Facility Device Experience (MAUDE) database. Read More

View Article and Full-Text PDF

Utility of plasma CA125 as a proxy of intra-abdominal pressure in patients with acute heart failure.

Eur Heart J Acute Cardiovasc Care 2022 Jun;11(6):453-460

Cardiology Department, Hospital Clínico Universitario de Valencia, INCLIVA, Departamento de Medicina, Universitat de València, Valencia, Spain.

Aims: Increased intra-abdominal pressure (IAP) is now considered a potential contributor to organ damage and disease progression in acute heart failure (AHF). In this work, we aimed to determine if antigen carbohydrate 125 (CA125) is associated with IAP and to identify a cutpoint of CA125 useful for ruling out intra-abdominal hypertension (defined as IAP ≥ 12 mmHg).

Methods And Results: We prospectively evaluated a cohort of 53 patients admitted with AHF in which IAP was measured within the first 24-h of admission. Read More

View Article and Full-Text PDF

Continuous Monitoring of Intra-abdominal Pressure in Severe Acute Pancreatitis Leads to Early Detection of Abdominal Compartment Syndrome: A Case Report.

Cureus 2022 Apr 29;14(4):e24606. Epub 2022 Apr 29.

Department of Anesthesiology and Perioperative Medicine, Mayo Clinic, Rochester, USA.

Acute pancreatitis is a risk factor for intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS). Immediate detection and management of IAH and ACS are critical for patient survival. Obtaining accurate and consistent intra-abdominal pressure and urinary output with high frequency is challenging, but critical for effective patient management. Read More

View Article and Full-Text PDF

Management of a patient with cardiac arrest, intestinal ischemia necrosis, multiple fractures, hemorrhagic shock, renal failure, disseminated intravascular coagulation, and thrombosis after severe abdominal crush injury: A case report.

Exp Ther Med 2022 Jun 12;23(6):386. Epub 2022 Apr 12.

Center for Disease Control and Prevention, Western Theater Command, Lanzhou, Gansu 730020, P.R. China.

Abdominal crush injury has been widely reported. However, abdominal crush injury cases involving most of the organ systems have seldom been reported. In the present case report, a 58-year-old man was hit in the abdomen by a 4-ton machine tool. Read More

View Article and Full-Text PDF

Challenging Obstetrical Management in Generalized Peritonitis during Pregnancy.

Case Rep Obstet Gynecol 2022 21;2022:1249676. Epub 2022 Apr 21.

Department of Obstetrics and Gynecology, Centro Hospitalar Tondela-Viseu, Viseu, Portugal.

Acute abdomen in pregnancy represents a diagnostic and therapeutic challenge, despite the current advances in modern medicine, since the typical symptoms and altered laboratory parameters mimic normal pregnancy. Acute appendicitis is the most common nonobstetric surgical emergency during pregnancy, with an incidence of 1 per 500-2000 pregnancies. Delayed diagnosis and reluctance to operate on a pregnant woman predispose to adverse maternal and fetal outcomes. Read More

View Article and Full-Text PDF

Validity and reliability of a novel, non-invasive tool and method to measure intra-abdominal pressure in vivo.

J Biomech 2022 May 21;137:111096. Epub 2022 Apr 21.

McGill University, Department of Mechanical Engineering, 845 Sherbrooke St. W, Montreal, Quebec, Canada, H3A 0G4. Electronic address:

Intra-abdominal hypertension has been recorded in between 20 and 50% of intensive care unit patients, with rates increasing in ventilated patients. This increased intra-abdominal pressure (IAP) can reduce blood flow to vital organs, perpetuating further pressure build-up as organs become unable to drain excess fluids. Measurement of IAP for the diagnosis of intra-abdominal hypertension remains highly invasive, thus, a non-invasive alternative to traditional IAP measurement was developed and validated, herein. Read More

View Article and Full-Text PDF

Clinical outcomes of non-operative management and clinical observation in non-angioembolised hepatic trauma: A systematic review of the literature.

Chin J Traumatol 2022 Apr 13. Epub 2022 Apr 13.

Haepato-Biliary-Pancreatic Unit, Hammersmith Hospital. Imperial College, London, W120TS, UK.

Purpose: Liver is the most frequently injured organ in abdominal trauma. Today non-operative management (NOM) is considered as the standard of care in hemodynamically stable patients, with or without the adjunct of angioembolisation (AE). This systematic review assesses the incidence of complications in patients who sustained liver injuries and were treated with simple clinical observation. Read More

View Article and Full-Text PDF

Sepsis and Acute Renal Failure Secondary to Abdominal Compartment Syndrome in a Confirmed COVID-19 Patient.

Case Rep Crit Care 2022 14;2022:7946158. Epub 2022 Apr 14.

Unidad de Cuidados Intensivos, Clínica Erasmo, Valledupar, Cesar, Colombia.

Sepsis due to nosocomial pathogens markedly increases morbidity and mortality in the critically ill patient. The SARS-CoV-2 (COVID-19) pandemic has increased the number of patients requiring intensive care unit (ICU) in-patient management. () is a group of multiresistant gram-negative bacteria associated with in-hospital environment and catheter-associated infections of increasing importance in the ICU. Read More

View Article and Full-Text PDF

Treatment Strategies for Improving the Surgical Outcomes of Ruptured Abdominal Aortic Aneurysm: Single-Center Experience in Japan.

Ann Vasc Dis 2022 Mar;15(1):8-13

Department of Radiology, Mie University Hospital, Tsu, Mie, Japan.

: We aimed to examine the surgical outcomes of ruptured abdominal aortic aneurysm cases at our hospital and considered strategies for improvement. : We examined the preoperative characteristics of hospital mortality, postoperative complications, and long-term outcomes of 91 surgical cases of ruptured abdominal aortic aneurysm performed between January 2009 and December 2020 at our hospital. : Of the 91 cases, 24 died at the hospital (mortality, 26. Read More

View Article and Full-Text PDF

Management of a severe abdominal compartment complicating fulminant cardiogenic-septic shock: An abdominal arterio-venous single-tube ECMO bypass saved a young patient's life after OHCA.

Perfusion 2022 Apr 10:2676591221087545. Epub 2022 Apr 10.

Department of Cardiology, Angiology and Intensive Care Medicine, University Hospital (UKGM) Marburg, Marburg, Germany.

Introduction: In severe cardiogenic shock, for example, following cardiac arrest, the implantation of an extracorporeal hemodynamic assist device often seems to be the last option to save a patient's life. However, even though our guidelines provide a class-IIa-recommendation to implant a veno-arterial extracorporeal membrane oxygenation (vaECMO) device in these patients, the accompanying disease- and device-associated complications and their consequences remain challenging to handle.

Case Presentation: A 43-year-old patient presented with severe cardiogenic-septic shock with a complicating abdominal compartment due to a prolonged out-of-hospital cardiac arrest (OHCA). Read More

View Article and Full-Text PDF

Abdominal compartment syndrome: an often overlooked cause of acute kidney injury.

J Nephrol 2022 Apr 5. Epub 2022 Apr 5.

Division of Nephrology, Department of Medicine, Koc University School of Medicine, Istanbul, Turkey.

Abdominal compartment syndrome (ACS) is defined as any organ dysfunction caused by intra-abdominal hypertension (IAH), referred as intra-abdominal pressure (IAP) ≥ 12 mm Hg according to the World Society of Abdominal Compartment Syndrome. Abdominal compartment syndrome develops in most cases when IAP rises above 20 mmHg. Abdominal compartment syndrome, while being a treatable and even preventable condition if detected early in the stage of intra-abdominal hypertension, is associated with high rates of morbidity and mortality if diagnosis is delayed: therefore, early detection is essential. Read More

View Article and Full-Text PDF

Expanded dengue syndrome presented with rhabdomyolysis, compartment syndrome, and acute kidney injury: A case report.

Medicine (Baltimore) 2022 Feb;101(7):e28865

Kabul University of Medical Sciences, Kabul, Afghanistan.

Rationale: Expanded dengue syndrome (EDS) is the phenomenon coined by the World Health Organization for cases of dengue fever (DF) with rare but dangerous consequences. EDS mainly leads to complications involving the vital organs, thus is also associated with a higher mortality rate. This case report presents the first-ever case where a patient developed EDS with both rhabdomyolysis-induced acute kidney injury and compartment syndrome of the limbs. Read More

View Article and Full-Text PDF
February 2022

Derivation and Validation of a Risk Score for Abdominal Compartment Syndrome after Endovascular Aneurysm Repair for Ruptured Abdominal Aortic Aneurysms.

Ann Vasc Surg 2022 Mar 23. Epub 2022 Mar 23.

Division of Vascular and Endovascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA.

Background: Abdominal compartment syndrome (ACoS) is a devastating complication after endovascular aneurysm repair for ruptured abdominal aortic aneurysms (rEVAR). This study sought to develop a risk score for ACoS to identify patients who would benefit from early decompressive laparotomy.

Methods: Model derivation was performed with Vascular Quality Initiative data for rEVAR from 2013 to 2020. Read More

View Article and Full-Text PDF

PERCUTANEOUS MECHANICAL THROMBECTOMY IN PHLEGMASIA CERULEA DOLENS: CASE REPORT AND LITERATURE REVIEW.

Port J Card Thorac Vasc Surg 2022 Jan 4;28(4):59-62. Epub 2022 Jan 4.

Vascular Surgery Department - Tâmega e Sousa Hospital Center, Penafiel, Portugal.

Introduction: Phlegmasia cerulea dolens is a potentially life-threatening complication of deep venous thrombosis, causing marked swelling and sudden severe pain in the limb, associated with cyanosis, edema and compartment syndrome that together compromise arterial supply. There is no consensus on its treatment.

Case Report: A 36-year-old woman, with a history of cosmetic surgery 8 days before admission (abdominal liposuction), was admitted to the emergency department with edema, cyanosis, severe pain, decreased temperature and tenderness of the left lower limb. Read More

View Article and Full-Text PDF
January 2022

Botulinum Toxin Type A Injection Improves the Intraperitoneal High Pressure in Rats Treated with Abdominal Wall Plasty.

Comput Intell Neurosci 2022 15;2022:1054299. Epub 2022 Mar 15.

Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.

The aim of the study is mainly to study the subject of BoNT-A injection to improve IAH in rats undergoing abdominal angioplasty. The study problem in surgery, especially in ICU, burn, and trauma centers, intra-abdominal hypertension (IAH), and abdominal compartment syndrome (ACS) are common complications. At present, there are various treatments for IAH. Read More

View Article and Full-Text PDF

Abdominal Compartment Syndrome with Extrinsic Compression of the Abdominal Aorta in Acute Colonic Pseudo-Obstruction.

J Gastrointest Surg 2022 Mar 23. Epub 2022 Mar 23.

Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Hôpital Louis Pradel, F-69677, Bron Cedex, France.

View Article and Full-Text PDF

INTRABDOMINAL PRESSURE AND ITS CORRECTION IN ACUTE SURGICAL PATHOLOGY.

Wiad Lek 2022 ;75(2):372-376

BOGOMOLETS NATIONAL MEDICAL UNIVERSITY, KYIV, UKRAINE.

Objective: The aim: Improving the results of treatment of patients with acute surgical pathology of the abdominal cavity by correcting intra-abdominal hypertension (IAH).

Patients And Methods: Materials and methods: The results of examination and treatment of 187 patients with acute surgical pathology, which was accompanied by elevation of IAP. To compare the results, depending on the chosen diagnostic and treatment tactics, patients were divided into two groups: comparison and main. Read More

View Article and Full-Text PDF