Abdominal Decompression after Cardiac Surgery: Outcome of 42 Patients with Abdominal Compartment Syndrome

2021 ◽  
Author(s):  
Michaela Ramser ◽  
Philippe M. Glauser ◽  
Tracy R. Glass ◽  
Benjamin Weixler ◽  
Martin T. R. Grapow ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Surgery Outcome ◽  
Abdominal Decompression ◽  
Abdominal Compartment

Linea Alba Fasciotomy: A Novel Alternative in Trauma Patients with Secondary Abdominal Compartment Syndrome

2010 ◽  
Vol 76 (3) ◽  
pp. 312-316 ◽  
Author(s):  
Juan C. Duchesne ◽  
Meghan P. Howell ◽  
Calvin Eriksen ◽  
Georgia M. Wahl ◽  
Kelly V. Rennie ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Volume Index ◽  
Trauma Patients ◽  
Linea Alba ◽  
Physiological Variables ◽  
Abdominal Hypertension ◽  
Polytrauma Patients ◽  
Abdominal Decompression ◽  
Abdominal Compartment

Polytrauma patients needing aggressive resuscitation can develop intra-abdominal hypertension (IAH) with subsequent secondary abdominal compartment syndrome (SACS). After patients fail medical therapy, decompressive laparotomy is the surgical last resort. In patients with severe pancreatitis SACS, the use of linea alba fasciotomy (LAF) is an effective intervention to lower IAH without the morbidity of laparotomy. A pilot study of LAF was designed to evaluate its benefit in patients with SACS polytrauma. We conducted an observational study of blunt injury polytrauma patients undergoing LAF. Variables measured before and after LAF included intra-abdominal pressure (IAP, mmHg), abdominal perfusion pressure (APP, mmHg), right ventricular end diastolic volume index (RVEDVI, mL/m2), and ejection fraction. Of the five trauma patients with SACS, the mean age was 36 ± 17, four (80%) male with an Injury Severity Score of 27 ± 9. Pre- and post-LAF, IAP was 20.6 ± 4.7 and 10.6 ± 2.7 ( P < 0.0001), APP 55.2 ± 5.5 and 77.6 ± 7.1 ( P < 0.0001), RVEDVI 86.4 ± 9.3 and 123.6 ± 11.9 ( P < 0.0001), and EF 27.6 ± 4.2 and 40.8 ± 5 ( P < 0.0001), respectively. One patient needed full decompression for bile ascites from unrecognized liver injury. Linea alba fasciotomy, as a first-line intervention before committing to full abdominal decompression in patients with SACS trauma, improved physiological variables without mortality Consideration for LAF as a bridge before full abdominal decompression needs further evaluation in patients with polytrauma SACS.

Subcutaneous Linea Alba Fasciotomy: A Less Morbid Treatment for Abdominal Compartment Syndrome

2008 ◽  
Vol 74 (8) ◽  
pp. 746-749 ◽  
Author(s):  
Michael L. Cheatham ◽  
Jessica Fowler ◽  
Peter Pappas
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Injured Patient ◽  
Abdominal Pressure ◽  
Linea Alba ◽  
Medical Interventions ◽  
Enteroatmospheric Fistula ◽  
Abdominal Decompression ◽  
Abdominal Compartment ◽  
New Surgical Technique

Abdominal compartment syndrome is a cause of significant morbidity and mortality among surgical patients. It has traditionally been treated by abdominal decompression with the associated risks of chronic incisional hernia and enteroatmospheric fistula. Subcutaneous linea alba fasciotomy has recently been described as a new surgical technique for the treatment of abdominal compartment syndrome secondary to acute pancreatitis. This technique reduces intra-abdominal pressure and restores organ function while maintaining the skin and peritoneum intact for visceral protection. We describe the application of subcutaneous linea alba fasciotomy as a safe and effective alternative for the surgical management of abdominal compartment syndrome in a traumatically injured patient refractory to comprehensive medical interventions.

SECONDARY ABDOMINAL COMPARTMENT SYNDROME FOLLOWING CARDIAC SURGERY

2004 ◽  
Vol 32 (Supplement) ◽  
pp. A178
Author(s):  
Joshua Baker ◽  
Carla C Braxton
Keyword(s):  
Cardiac Surgery ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Abdominal Compartment

scholarly journals ABDOMINAL DECOMPRESSION FOR ABDOMINAL COMPARTMENT SYNDROME IN CRITICALLY ILL PATIENTS: A RETROSPECTIVE STUDY

2010 ◽  
Vol 65 (6) ◽  
pp. 399-403 ◽  
Author(s):  
J. De Waele ◽  
L. Desender ◽  
I. De laet ◽  
W. Ceelen ◽  
P. Pattyn ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Compartment Syndrome ◽  
Critically Ill ◽  
Abdominal Compartment Syndrome ◽  
Critically Ill Patients ◽  
Abdominal Decompression ◽  
Abdominal Compartment

Effects of Escharotomy as Abdominal Decompression on Cardiopulmonary Function and Visceral Perfusion in Abdominal Compartment Syndrome With Burn Patients

2005 ◽  
Vol 59 (2) ◽  
pp. 368-373 ◽  
Author(s):  
Jun Oda ◽  
Masashi Ueyama ◽  
Katsuyuki Yamashita ◽  
Takuya Inoue ◽  
Nobuyuki Harunari ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Burn Patients ◽  
Cardiopulmonary Function ◽  
Abdominal Decompression ◽  
Abdominal Compartment ◽  
Visceral Perfusion

Surgical Decompression for Abdominal Compartment Syndrome After Emergency Cardiac Surgery

2008 ◽  
Vol 85 (6) ◽  
pp. 2133-2135 ◽  
Author(s):  
Annick De Wolf ◽  
Jan Poelaert ◽  
Ingrid Herck ◽  
Jan J. De Waele
Keyword(s):  
Cardiac Surgery ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Surgical Decompression ◽  
Abdominal Compartment

Life threatening abdominal compartment syndrome as an early complication of new onset ketosis prone type 2 diabetes mellitus

2017 ◽  
Vol 12 (S 01) ◽  
pp. S1-S84
Author(s):  
B Hartmann ◽  
S Vetter ◽  
B Mark ◽  
A Wagner ◽  
J Weidenhammer ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Early Complication ◽  
Life Threatening ◽  
Abdominal Compartment ◽  
New Onset

Abdominal compartment syndrome as a complication of the burn shock treatment – definition, prevention, treatment

2014 ◽  
Vol 2 (2) ◽  
pp. 85-90
Author(s):  
Ryszard J. Mądry ◽  
Jerzy Strużyna ◽  
Sergey Antonov ◽  
Tomasz Korzeniowski ◽  
Magdalena Bugaj ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Shock Treatment ◽  
Burn Shock ◽  
Abdominal Compartment
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