scholarly journals Pressure Distribution during Negative Pressure Wound Therapy of Experimental Abdominal Compartment Syndrome in a Porcine Model

2018 ◽  
Author(s):  
Adrienn Csiszkó ◽  
Klaudia Balog ◽  
Zoltán Attila Godó ◽  
Gyula Juhász ◽  
Katalin Pető ◽  
...  
Keyword(s):  
Pressure Distribution ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Porcine Model ◽  
Abdominal Cavity ◽  
Absolute Pressure ◽  
Wound Therapy ◽  
Abdominal Compartment

1) Introduction: Negative pressure wound therapy (NPWT) is a frequently applied open abdomen (OA) treatment. There are only a few experimental data supporting this method and describing the optimal settings and pressure distribution in the abdominal cavity during this procedure. The aim of our study was to evaluate pressure values at different points of the abdominal cavity during NPWT in experimental abdominal compartment syndrome (ACS) animal model. 2) Methods: In this study (permission Nr. 13/2014/UDCAR) 27 Hungahib pigs (15.4- 20.2 kg) were operated. ACS was generated by implanting a plastic bag in the abdomen through mini-laparotomy and filled with 2100- 3300 ml saline solution (37 C°) to an intraabdominal pressure (IAP) of 30 mmHg. After 3 hours, NPWT (Vivano Med ® Abdominal Kit, Paul Hartmann AG, Germany) or Bogota bag was applied. NPWT group was divided into -50, -100 and 150 mmHg suction group. Pressure distribution to the abdominal cavity was monitored at 6 different points of the abdomen via a multichannel pressure monitoring system. 3) Results: The absolute pressure levels were significantly higher above than below the layer. The values of the pressure were similar in the midline than laterally. Amongst the bowels, the pressure values changed periodically between 0 and -12 mmHg which might be caused by the peristaltic movements. 4) Conclusions: The porcine model of the present study seems to be well applicable for investigating ACS and NPWT. It was possible to provide valuable for clinicians. The pressure was well distributed by the protective layer to the lateral parts of the abdomen and this phenomenon did not change considerably during the therapy.

scholarly journals Case Study: Acute Lumbar Paraspinal Compartment Syndrome in an Austere Military Environment

2020 ◽  
Author(s):  
Pete Allen ◽  
Jackson Pugh ◽  
Alexander Blau
Keyword(s):  
Compartment Syndrome ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Limited Resources ◽  
Paraspinal Muscles ◽  
Medical Department ◽  
Wound Therapy ◽  
Lower Back ◽  
Lumbar Paraspinal Muscles

ABSTRACT The incidence of compartment syndrome of the lumbar paraspinal muscles is exceedingly rare. Approximately 24 hours following a high-intensity kettlebell swing workout, a 33-year-old Sailor presented to the medical department on board a forward deployed Wasp-class amphibious assault ship with increasing discomfort in his middle and lower back, and evidence of rhabdomyolysis. Discomfort quickly turned to unrelenting pain coupled with dorsal paresthesias and rigidity in the paraspinal muscles. He was taken emergently to the operating room, where his paraspinal muscles were released via fasciotomy. As a result of limited resources aboard the deployed ship, a negative pressure wound dressing was fashioned using the supplies available aboard the ship. Following 3 days of the negative pressure wound therapy, muscle bulging decreased substantially, and the skin was closed. After 4 weeks of physical therapy, he returned to full duty.

Pressure distribution and flow characteristics during negative pressure wound therapy

2020 ◽  
Vol 29 (1) ◽  
pp. 32-36 ◽  
Author(s):  
Niklas Biermann ◽  
Edward K. Geissler ◽  
Eva Brix ◽  
Daniel Schiltz ◽  
Clemens Muehle ◽  
...  
Keyword(s):  
Pressure Distribution ◽  
Negative Pressure ◽  
Negative Pressure Wound Therapy ◽  
Flow Characteristics ◽  
Wound Therapy

scholarly journals Giant lymphatic malformation causing abdominal compartment syndrome in a neonate: a rare surgical emergency

2020 ◽  
Vol 2020 (8) ◽  
Author(s):  
Paolo Gasparella ◽  
Georg Singer ◽  
Christoph Castellani ◽  
Erich Sorantin ◽  
Emir Q Haxhija ◽  
...  
Keyword(s):  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Abdominal Cavity ◽  
Complete Removal ◽  
Lymphatic Malformation ◽  
Ileocecal Resection ◽  
Lymphatic Malformations ◽  
Gestational Week ◽  
Immediate Surgery ◽  
Abdominal Compartment

Abstract Abdominal lymphatic malformations in neonates require sophisticated management. In symptomatic cases, acute complications may necessitate immediate surgery. We present the case of a giant abdominal lymphatic malformation diagnosed in the 18th gestational week. Sonographic concerns about intestinal hypoperfusion in the 33rd week of gestation indicated caesarean section. Postnatal imaging confirmed a macrocystic lymphatic malformation occupying almost the complete abdominal cavity; the intestinal perfusion was normal. Clinical deterioration on Day 13 of life required laparotomy. Intraoperatively, the lymphatic mass was located in the ileocecal mesentery. Two major cysts showed recent hemorrhage explaining the onset of abdominal compartment syndrome. The malformation was completely removed. An ileocecal resection with an ileocolic anastomosis was performed. The postoperative course was uneventful. In neonates with abdominal lymphatic malformations, an onset of abdominal compartment syndrome requires surgical exploration. If feasible, the complete removal of the lesion represents a curative option.

scholarly journals PORTAL VENOUS GAS – RARE DIAGNOSTIC SIGN OF ABDOMINAL COMPARTMENT-SYNDROME

2018 ◽  
Vol 7 (2) ◽  
pp. 146-151
Author(s):  
A V. Ivanova ◽  
D. L. Shukevich ◽  
A. S. Radivilko ◽  
E. V. Grigoryev
Keyword(s):  
Intensive Care Unit ◽  
Compartment Syndrome ◽  
Abdominal Compartment Syndrome ◽  
Ultrasound Examination ◽  
Abdominal Cavity ◽  
Orthotopic Heart Transplant ◽  
Risk Of Death ◽  
Portal Venous Gas ◽  
Diagnostic Criterion ◽  
Abdominal Compartment

Portal venous gas in adults is associated with the development of abdominal compartment syndrome and can be used as a probable ultrasound diagnostic criterion. The case presents a patient aged 46 years after orthotopic heart transplant who developer abdominal syndrome in the intensive care unit postoperatively. Portal venous gas was a random finding during routine abdominal cavity ultrasound examination. Portal venous gas is a prognostically unfavorable sign. The early diagnosis can reduce the associated risk of death. Routine use of bedside ultrasound allows timely and accurately determining the presence of portal venous gas.

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