Postinjury Primary Abdominal Compartment Syndrome

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Zsolt BaloghFrederick A Moore

Abstract

Postinjury abdominal compartment syndrome (ACS) has evolved during the 1980s together with the introduction of damage control surgery (DCS) principles. DCS made it possible to salvage severely injured trauma patients who previously would have exsanguinated due to uncontrollable coagulopathic bleeding. These patients had severe hemorrhagic shock; their abdomens were tightly packed and had ongoing massive resuscitation. ACS is a lethal complication of the damage control patients. For today the pathophysiological characteristics of ACS are described, the intra-abdominal pressure is measured on many intensive care units. Postinjury ACS (primary and secondary) is one of the better characterized etiological types of ACS: risk factors, diagnostic criteria, independent predictors and preventive strategies are all well documented. Since the mortality of full-blown postinjury ACS is still unacceptably high and does not seem to improve with earlier decompression, prevention is the recommended strategy to decrease the morbidity and mortality. Open abdomen is one of the important preventive strategies but it is not free from morbidity and mortality. With aggressive open abdomen management in postinjury ACS these complications can be minimiz...Continue Reading

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Citations

Apr 4, 2009·World Journal of Surgery·Zsolt J BaloghFrederick A Moore
Aug 1, 2008·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·UNKNOWN Selman Uranues MD, FACS, Section Editor

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