Abdominal Compartment Syndrome in Patients with Strangulated Hernia

Overview

Journal Hernia

Publisher Springer

Date 2008 Aug 7

PMID 18682888

Citations 4

Authors

M A Beltran

R A Villar

K S Cruces

Affiliations

Soon will be listed here.

Abstract

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.

Citing Articles

An Analysis of the Impact of Intra-abdominal Pressure on Surgical Outcomes in Cases of Intestinal Obstruction: A Prospective Observational Study.

Dukkipati S, Puranik A, Meena S, Badkur M, Lodha M, Kompally P Cureus. 2024; 16(5):e59736.

PMID: 38841048 PMC: 11151994. DOI: 10.7759/cureus.59736.

2017 update of the WSES guidelines for emergency repair of complicated abdominal wall hernias.

Birindelli A, Sartelli M, Di Saverio S, Coccolini F, Ansaloni L, van Ramshorst G World J Emerg Surg. 2017; 12:37.

PMID: 28804507 PMC: 5545868. DOI: 10.1186/s13017-017-0149-y.

WSES guidelines for emergency repair of complicated abdominal wall hernias.

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PMID: 24289453 PMC: 4176144. DOI: 10.1186/1749-7922-8-50.

Excellent outcomes after emergency groin hernia repair.

Tiernan J, Katsarelis H, Garner J, Skinner P Hernia. 2010; 14(5):485-8.

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