الفهرس | Only 14 pages are availabe for public view |
Abstract Increased intra abdominal pressure (IAP) is called intra abdominal hypertension (IAH). Abdominal compartment syndrome (ACS) refers to organ dysfunction caused by intra abdominal hypertension. (ACS) can impair the function of nearly every organ system. Physiologic consequences include impaired cardiac function, decreased venous return, hypoxemia, hypercarbia, renal impairment, diminished gut perfusion, and elevated intracranial pressure. Diagnosis of (ACS) requires that intra abdominal pressure be measured. Symptoms, physical signs, and imaging findings are insufficient to diagnose (ACS). Management initially consists of careful observation and supportive care. In some cases abdominal compartment decompression is required Surgical decompression must not be delayed until the development of (ACS). We should evaluate the patient for possible surgical decompression when the intra abdominal pressure is ≥20 mmHg, regardless of whether (ACS) exists. We make our final decision only after carefully weighing the potential benefits and the peri operative risks related to the individual patient. Following surgical decompression, an open abdomen is maintained using a variety of temporary abdominal closure techniques. |