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[Efficacy of decompression treatment of abdominal compartment syndrome]
Rigoberto Dolores-Velásquez1, Luis Fernando Sauri-lc, Raúl Sánchez-Lozada
1Servicio de Cirugía General, Centro Médico Nacional Lic. Ignacio García Téllez, Hospital General Regional # 2 Lic. Benito Juárez Instituto Mexicano del Seguro Social, Yucatán.
Introduction:
Abdominal compartment syndrome (ACS) is an entity that represents a latent problem in the patient subjected to laparotomy.
Objective:
To evaluate the effectiveness of decompressive treatment of ACS.
Material And Methods:
We studied patients subjected to decompressive treatment for diagnosis of SCA from May 1 to November 30, 2001 prospectively. We evaluated intraabdominal pressure (IAP), peak pressure of air way (J)PVA), oxygen available index (OAi), ventilation-perfussion index and uresis, before, after, and at 48 h of decompressive surgery. The data were treated statistically with paired student t test taking as significant p < 0.05 using percentages for qualitative variables and average with standard deviation for quantitative variables.
Results:
We included 10 patients; three died (30%). Alone it VP & it descended significantly after compression (1 > < 0.05). Uresis, PPVA, OlA and VPI were carried out 48 h of decompressive surgery.
Conclusions:
Decompressive treatment is effective in ACS, showing immediate decreased of IAP and improvement of the hemodynamic variables after 48 h post-surgery.
