Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care cung cấp cho các bạn kiến thức về ngành y đề tài: Decompressive laparotomy for abdominal compartment syndrome – a critical analysis. | Available online http content 10 2 R51 Research Decompressive laparotomy for abdominal compartment syndrome - a critical analysis Jan J De Waele1 Eric AJ Hoste1 and Manu LNG Malbrain2 Open Access intensive Care Unit Ghent University Hospital Gent Belgium intensive Care Unit Campus Stuivenberg ZiekenhuisNetwerk Antwerpen Antwerp Belgium Corresponding author Jan J De Waele Received 20 Jul 2005 Revisions requested 24 Aug 2005 Revisions received 20 Feb 2006 Accepted 27 Feb 2006 Published 27 Mar 2006 Critical Care 2006 10 R51 doi cc4870 This article is online at http content 10 2 R51 2006 De Waele et al. licensee BioMed Central Ltd. This is an open access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Abdominal compartment syndrome ACS is increasingly recognized in critically ill patients and the deleterious effects of increased intraabdominal pressure IAP are well documented. Surgical decompression through a midline laparotomy or decompressive laparotomy remains the sole definite therapy for ACS but the effect of decompressive laparotomy has not been studied in large patient series. Methods We reviewed English literature from 1972 to 2004 for studies reporting the effects of decompressive laparotomy in patients with ACS. The effect of decompressive laparotomy on IAP patient outcome and physiology were analysed. Results Eighteen studies including 250 patients who underwent decompressive laparotomy could be included in the analysis. IAP was significantly lower after decompression mmHg versus mmHg before p but intraabdominal hypertension persisted in the majority of the patients. Mortality in the whole group was 123 250 . The effect of decompressive laparotomy on organ function was not
