| Abdominal compartment syndrome in patients with strangulated hernia. | |
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MedLine Citation:
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PMID: 18682888 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Intestinal obstruction (IO) leads to increased intra-abdominal pressure and abdominal compartment syndrome. The purpose of this study was to investigate the characteristics of abdominal compartment syndrome in patients with IO secondary to strangulated hernia. METHODS: We studied 81 consecutive unselected patients presenting complicated hernias and IO. We measured intra-abdominal pressure using the intra-vesicular pressure method. RESULTS: Preoperative (15 min) intra-abdominal pressure was higher in patients with strangulated hernias. Postoperative (15 min) intra-abdominal pressure in both groups decreased to similar values. Intra-abdominal pressure was measured during the preoperative period in patients with strangulated hernias and during the postoperative period at 15 min (13.8 +/- 6.4 mmHg), 24 h (9.8 +/- 3.2 mmHg) and 48 h (7.4 +/- 2.4 mmHg). Abdominal compartment syndrome developed in 47% cases with strangulated hernias with a mortality of five patients. CONCLUSIONS: Serial measurements of intra-abdominal pressure evidenced the clinical severity of strangulated hernia. Intra-abdominal pressure measurement may be used as a predictor of intestinal strangulation in patients presenting acute abdominal compartment syndrome secondary to complicated hernia. |
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Authors:
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M A Beltrán; R A Villar; K S Cruces |
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Publication Detail:
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Type: Journal Article Date: 2008-08-06 |
Journal Detail:
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Title: Hernia : the journal of hernias and abdominal wall surgery Volume: 12 ISSN: 1248-9204 ISO Abbreviation: Hernia Publication Date: 2008 Dec |
Date Detail:
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Created Date: 2008-11-21 Completed Date: 2009-04-24 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9715168 Medline TA: Hernia Country: France |
Other Details:
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Languages: eng Pagination: 613-20 Citation Subset: IM |
Affiliation:
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Department of Surgery, Hospital de Ovalle, Ovalle, Chile. beltran_01@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdomen* Aged Compartment Syndromes / classification, etiology* Female Hernia, Abdominal / complications*, surgery Humans Intestinal Obstruction / complications* Male Middle Aged Pressure |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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