Document Detail


The effect of abdominal wall plication on intra-abdominal pressure and lower extremity venous flow: a case report.
MedLine Citation:
PMID:  21855437     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Abdominal wall plication is known to cause increased intra-abdominal pressure (IAP). Whether plication-associated increased IAP causes lower extremity venous stasis, a recognized risk factor for DVT, remains unknown. A 55-year-old woman had a unilateral pedicled TRAM procedure for mastectomy reconstruction. Prior to plication, duplex ultrasound measured proximal femoral vein (PFV) cross-sectional diameter and volume-flow. PFV measurements were repeated immediately after plication and on post-operative days (POD) 1, 2, and 4. Bladder pressure was measured at similar timepoints. PFV volume-flow decreased from 0.22 L/min to 0.16 L/min (73% of baseline) immediately post-plication and reached a nadir of 0.08 L/min (36% of baseline) on POD 2. Bladder pressure increased from 13 mm Hg to 19 mm Hg after plication, and peaked at 31 mm Hg after intra-operative trunk flexion to 30°. Thus, abdominal wall plication was associated with increased intra-abdominal pressure and ultrasound-documented lower extremity venous stasis that persisted for 48 h after surgery.
Authors:
Christopher J Pannucci; Amy K Alderman; Sandra L Brown; Thomas W Wakefield; Edwin G Wilkins
Related Documents :
10805267 - Effect of intra-abdominal position of the bladder neck and stability of its supporting ...
18843427 - Effect of single botulinum toxin a injection to the external urethral sphincter for tre...
12050557 - De-serosalized muscle layer covering method for antireflux ureteroileostomy: a new oper...
7933207 - Outcome of reflux in children with myelodysplasia managed by bladder pressure monitoring.
2186677 - Cardiopulmonary effects of positive end-expiratory pressure in anesthetized, mechanical...
8626877 - Effects of amlodipine on 24-hour ambulatory blood pressure profiles, electrocardiograph...
Publication Detail:
Type:  Case Reports; Journal Article; Research Support, N.I.H., Extramural; Research Support, Non-U.S. Gov't     Date:  2011-08-19
Journal Detail:
Title:  Journal of plastic, reconstructive & aesthetic surgery : JPRAS     Volume:  65     ISSN:  1878-0539     ISO Abbreviation:  J Plast Reconstr Aesthet Surg     Publication Date:  2012 Mar 
Date Detail:
Created Date:  2012-02-13     Completed Date:  2012-04-03     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  101264239     Medline TA:  J Plast Reconstr Aesthet Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  392-4     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.
Affiliation:
Section of Plastic Surgery, University of Michigan, Ann Arbor, MI 48109, USA. cpannucc@umich.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Abdomen / physiopathology*,  surgery
Abdominal Wall / surgery*
Blood Flow Velocity
Female
Humans
Intra-Abdominal Hypertension / complications*,  physiopathology
Lower Extremity / blood supply*,  ultrasonography
Mammaplasty / adverse effects*
Middle Aged
Surgical Flaps / adverse effects*,  blood supply
Venous Thrombosis / etiology*,  physiopathology,  ultrasonography
Grant Support
ID/Acronym/Agency:
T32 GM-08616/GM/NIGMS NIH HHS; T32 GM008616-02/GM/NIGMS NIH HHS
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Perinatal inflammation and lung injury.
Next Document:  Severe periodontitis and orthodontics: evaluation of long-term results.