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Abdominal Compartment Syndrome

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Ari Leppäniemi – One of the best experts on this subject based on the ideXlab platform.

M Gomillion – One of the best experts on this subject based on the ideXlab platform.

Andrew W. Kirkpatrick – One of the best experts on this subject based on the ideXlab platform.

A Sharma – One of the best experts on this subject based on the ideXlab platform.

  • Abdominal Compartment Syndrome during hip arthroscopy
    Anaesthesia, 2009
    Co-Authors: A Sharma, H Sachdev, M Gomillion
    Abstract:

    Hip arthroscopy is recognised as a highly effective means of treating joint disorders. The majority of complications associated with hip arthroscopy involve neurovascular traction injury. We report a relatively unusual complication of hip arthroscopy, extravasation of irrigation fluid into the retroperitoneal and intraperitoneal cavities, resulting in Abdominal Compartment Syndrome.

Panu Mentula – One of the best experts on this subject based on the ideXlab platform.

  • surgical decompression for Abdominal Compartment Syndrome in severe acute pancreatitis
    Archives of Surgery, 2010
    Co-Authors: Panu Mentula, Piia Hienonen, Esko Kemppainen, Pauli Puolakkainen, Ari Leppäniemi
    Abstract:

    Hypothesis In patients with severe acute pancreatitis and Abdominal Compartment Syndrome, establishment of the indications and optimal time for surgical decompression may avoid exacerbation of multiple-organ dysfunction Syndrome. Design Retrospective study. Setting Tertiary care university teaching hospital. Patients Twenty-six consecutive patients with severe acute pancreatitis and Abdominal Compartment Syndrome treated by surgical decompression between January 1, 2002, and December 31, 2007. Intervention Surgical decompression of the abdomen. Main Outcome Measures Morbidity, mortality, and organ dysfunction before and after surgical decompression. Results At the time of surgical decompression, the median sequential organ failure assessment score among patients was 12 (interquartile range, 10-15), and the median intra-Abdominal pressure was 31.5 (interquartile range, 27-35) mm Hg. After surgical decompression, renal or respiratory function was improved in 14 patients (54%). The overall hospital mortality was 46%, but mortality was 18% among 17 patients in whom surgical decompression was performed within the first 4 days after disease onset. Conclusions Patients with severe acute pancreatitis and Abdominal Compartment Syndrome managed by surgical decompression had severe multiple-organ dysfunction Syndrome and high mortality. Surgical decompression may improve renal or respiratory function. Early surgical decompression is associated with reduced mortality in patients with severe acute pancreatitis, early multiple-organ dysfunction Syndrome, and Abdominal Compartment Syndrome.