Case of Abdominal Compartment Syndrome Treated by using a Bedside Open Linea Alba Fasciotomy
Journal of the Korean Society of Traumatology
;
: 56-59, 2011.
Artigo
em Coreano
| WPRIM
| ID: wpr-64866
ABSTRACT
Abdominal compartment syndrome (ACS) is a life-threatening disorder caused by rapidly increasing intraabdominal pressure. ACS can result in multiorgan failure and carries a mortality of 60~70%. The treatment of choice in ACS is surgical decompression. There are very few reports of ACS and experience in Korea. We report 12-year-old male patient who developed an abdominal compartment syndrome due to traffic-accident-induced retroperitoneal hematomas, Which was successfully treated by performing a bedside emergency surgical decompression with open linea alba fasciotomy with intact peritoneum. When patients do not respond to medical therapy, a decompressive laparotomy is the last surgical resort. In patients with severe abdominal compartment syndrome, the use of a linea alba fasciotomy is an effective intervention to lower intra-abdominal hypertension (IAH) without the morbidity of a laparotomy. Use of a linea alba fasciotomy as a first-line intervention before committing to full abdominal decompression in patients with abdominal compartment syndrome improves physiological variables without mortality. Consideration for a linea alba fasciotomy as a bridge before full abdominal decompression needs further evaluation in patients with polytrauma abdominal compartment syndrome.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Peritônio
/
Descompressão Cirúrgica
/
Emergências
/
Hipertensão Intra-Abdominal
/
Estâncias para Tratamento de Saúde
/
Hematoma
/
Coreia (Geográfico)
/
Laparotomia
/
Pressão Negativa da Região Corporal Inferior
Limite:
Criança
/
Humanos
/
Masculino
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Journal of the Korean Society of Traumatology
Ano de publicação:
2011
Tipo de documento:
Artigo
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