الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Background: Compartment syndrome is a condition in which increased pressure is confined to anatomical space adversely affects circulation and threatens perfusion of tissues therein. In parallel The abdominal cavity can be considered as a single compartment and any change in volume of any content will elevate intraabdominal pressure. Abdominal compartment syndrome results when an acute increase in intraabdominal pressure occurs that is sufficient to compromise vascular inflow, threatening the viability of the tissues and organs within the abdomen Aim of Work: To evaluate the effect of increased intraabdominal pressure and abdominal compartment syndrome on various body systems and to early recognize and treat the patients with abdominal compartment syndrome and to assess the effect of time factor before surgical decompression on vital organs. Patients and methods: This prospective study was conducted on 30 consecutive patients in Mansoura university hospital and Mansoura emergency hospital from August 2004 to August 2005. There were 21 male (85%) and 9 females (15%). The age ranged from 17 years to 67 years with mean age 43.8 years. Measurement of intraabdominal pressure via indwelling urinary catheter. Results: from that point we conduct our study on 30 patients with intraabdominal hypertension and abdominal compartment syndrome, we found that there are many different causes traumatic and non traumatic which may lead to ACS. Indirect measurement of intraabdominal pressure via indwelling urinary catheter had a close relation with direct measurement of IAP. Closure of abdominal wall by using prosthetic mesh decrease the incidence of ACS. Conclusions: Intraabdominal hypertension is characterized clinically by the evolution of tense, distended, abdomen, progressive oliguria, and progressive respiratory embracement. If untreated, it is invariable fatal. The adverse physiologic effects are rapidly reversed by proper management and surgical decompression. Several methods are available to measure intraabdominal pressure, and it is easily performed by bladder pressure measurement. It is difficult to specify fixed uniform criteria for preventive use of temporary closure of the abdominal cavity using mesh or foil, because it always depends on the subjective assessment of operator.