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Abdominal compartment syndrome.
1Dept of General Surgery, Airedale General Hospital, Keighley, West Yorkshire, UK. kittoo68@hotmail.com
Irish Journal of Medical Science
|April 18, 2006
Summary
Abdominal compartment syndrome (ACS) is a critical condition caused by increased intra-abdominal pressure (IAP). Early diagnosis via urinary bladder pressure monitoring and prompt surgical decompression via laparostomy are crucial for managing this life-threatening emergency.
Area of Science:
- Critical Care Medicine
- Surgical Physiology
Background:
- Abdominal compartment syndrome (ACS) is a life-threatening condition characterized by multi-organ dysfunction due to elevated intra-abdominal pressure (IAP).
- Despite increased awareness, ACS remains under-recognized, presenting acutely, chronically, or as acute-on-chronic.
Purpose of the Study:
- To review the current understanding and management strategies for abdominal compartment syndrome.
- To emphasize the importance of early diagnosis and timely intervention.
Main Methods:
- Comprehensive literature search of Medline, PubMed, and Cochrane databases.
- Cross-referencing of identified articles for thorough review.
Main Results:
- Clinical diagnosis of ACS can be challenging.
- Serial urinary bladder pressure (UBP) monitoring facilitates earlier diagnosis.
Conclusions:
- Prompt diagnosis and surgical decompression via laparostomy followed by delayed abdominal closure are essential for managing ACS.
- Despite treatment, mortality rates for ACS remain high.