Intra-abdominal Pressure Monitoring in Open Abdomen Management with Dynamic Abdominal Closure

The Indian Journal of Surgery
A Ebru SarerGokhan Osmanoglu

Abstract

The importance of elevated intra-abdominal pressure (IAP) and abdominal compartment syndrome (ACS) have been recognized in critical care for its potential damaging effects. But, quantification of IAP values may be useful as a clinical tool for determining efficacy of coughing and straining for functional recovery of OA patients. We would like to evaluate IAP generated in an OA patient and the effect of negative pressure therapy (NPT) and dynamic abdominal closure systems (ABRA) on the IAP values at rest and during coughing and straining and compare those with IAP measurements of closed abdomen after standard open elective colorectal surgery (non-OA). Eight OA and eight non-OA patients were included in this study. OA patient with NPT and ABRA (OA + NA), OA patient without NPT and ABRA completely unbraced (OA-NA) (NA stands for NPT and ABRA), and non-OA patients underwent IAP measurements at rest, during coughing, and during straining via transurethral catheter. There was no difference in the mean of IAP measurement at rest in OA-NA (6.1 mmHg), OA + NA (6.5 mmHg), and non-OA (6.0 mmHg) patients. During coughing, IAP of OA-NA, OA + NA, and non-OA patients were 11.5, 19.1, and 22.0 mmHg and during straining, IAP of OA-NA, OA + NA, ...Continue Reading

References

Jun 10, 2005·American Journal of Clinical Dermatology·Mark L VenturiKatherine S Graw
Sep 6, 2005·The Journal of Surgical Research·William S CobbB Todd Heniford
May 2, 2008·Cough·W Robert AddingtonRobin R Ockey
Jul 12, 2008·Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS·Sharone' JacobsJune K Wu
Jul 27, 2010·Clinical Biomechanics·Ian A F StokesSharon M Henry
Oct 31, 2012·Hernia : the Journal of Hernias and Abdominal Wall Surgery·A E SalmanM Kiliç
May 16, 2013·Intensive Care Medicine·Andrew W KirkpatrickUNKNOWN Pediatric Guidelines Sub-Committee for the World Society of the Abdominal Compartment Syndrome
Mar 4, 2014·International Journal of Surgery Case Reports·Fahri YetişirCüneyt Kayaalp
May 27, 2014·International Journal of Surgery Case Reports·Fahri YetişirAbdussamet Yalçin
Feb 1, 2015·Journal of Intensive Care Medicine·Wess A CohenRichard H Savel
May 15, 2015·Anaesthesiology Intensive Therapy·Ari LeppäniemiJan J De Waele
Jul 1, 2016·The Indian Journal of Surgery·Fahri YetişirErdinç Çiftciler

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.