<abstract xmlns="http://www.w3.org/1999/xhtml"><p>Abdominal Compartment Syndrome (ACS), despite recent advances in medical and surgical care, is a significant cause of mortality. The purpose of this review is to present the main diagnostic and therapeutic aspects from the anesthetical and surgical points of view. Intra-abdominal hypertension may be diagnosed by measuring intra-abdominal pressure and indirectly by imaging and radiological means. Early detection of ACS is a key element in the ACS therapy. Without treatment, more than 90% of cases lead to death and according with the last reports, despite all treatment measures, the mortality rate is reported as being between 25 and 75%. There are conflicting reports as to the importance of a conservative therapy approach, although such an approach is the central to treatment guidelines of the World Society of Abdominal Compartment Syndrome, Decompressive laparotomy, although a backup solution in ACS therapy, reduces mortality by 16-37%. The open abdomen management has several variants, but negative pressure wound therapy represents the gold standard of surgical treatment.</p></abstract>

Abdominal Compartment Syndrome (ACS), despite recent advances in medical and surgical care, is a significant cause of mortality. The purpose of this review is to present the main diagnostic and therapeutic aspects from the anesthetical and surgical points of view. Intra-abdominal hypertension may be diagnosed by measuring intra-abdominal pressure and indirectly by imaging and radiological means. Early detection of ACS is a key element in the ACS therapy. Without treatment, more than 90% of cases lead to death and according with the last reports, despite all treatment measures, the mortality rate is reported as being between 25 and 75%. There are conflicting reports as to the importance of a conservative therapy approach, although such an approach is the central to treatment guidelines of the World Society of Abdominal Compartment Syndrome, Decompressive laparotomy, although a backup solution in ACS therapy, reduces mortality by 16-37%. The open abdomen management has several variants, but negative pressure wound therapy represents the gold standard of surgical treatment.

Abdominal Compartment Syndrome as a Multidisciplinary Challenge. A Literature Review

The Journal of Critical Care Medicine

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Abdominal Compartment Syndrome (ACS), despite recent advances in medical and surgical care, is a significant cause of mortality. The purpose of this review is...

Abdominal Compartment Syndrome as a Multidisciplinary Challenge. A Literature Review

Publicado en línea: 14 nov 2018

Páginas: 114 - 119

Recibido: 01 sept 2018

Aceptado: 30 oct 2018

DOI: https://doi.org/10.2478/jccm-2018-0024

Palabras clave
abdominal compartment syndrome, intra-abdominal pressure, decompressive laparotomy

© 2018 Gabriel Alexandru Popescu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Abdominal Compartment Syndrome as a Multidisciplinary Challenge. A Literature Review

Publicado en línea: 14 nov 2018

Páginas: 114 - 119

Recibido: 01 sept 2018

Aceptado: 30 oct 2018

DOI: https://doi.org/10.2478/jccm-2018-0024

Palabras claveabdominal compartment syndrome, intra-abdominal pressure, decompressive laparotomy

© 2018 Gabriel Alexandru Popescu et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.

Palabras clave
abdominal compartment syndrome, intra-abdominal pressure, decompressive laparotomy