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Related Experiment Video

Updated: Jun 25, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
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Abdominal compartment syndrome.

Wolfgang Scheppach1

  • 1University of Wuerzburg, Germany; Department of Medicine (Gastroenterology/Rheumatology), Juliusspital Wuerzburg, Juliuspromenade 19, D-97070 Wuerzburg, Germany. w.scheppach@juliusspital.de

Best Practice & Research. Clinical Gastroenterology
|March 5, 2009
PubMed
Summary
This summary is machine-generated.

Increased intra-abdominal pressure (IAP) can cause multi-organ failure in critically ill patients. Measuring IAP via the bladder technique is recommended due to unreliable clinical signs of intra-abdominal hypertension (IAH).

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Area of Science:

  • Critical Care Medicine
  • Surgical Intensive Care
  • Physiology

Background:

  • Increased intra-abdominal pressure (IAP) is a serious condition affecting critically ill patients.
  • It impairs cardiovascular, respiratory, and renal functions, potentially leading to multi-organ failure.
  • While common in surgical settings, IAP also occurs in medical conditions like acute pancreatitis.

Purpose of the Study:

  • To define intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS).
  • To emphasize the need for increased awareness among non-surgical intensivists.
  • To recommend a reliable method for IAP measurement.

Main Methods:

  • An expert panel established consensus definitions for IAH and ACS.
  • Intra-abdominal pressure (IAP) measurement using the 'bladder technique' was recommended.
  • Clinical signs of IAH were assessed for reliability.

Main Results:

  • Intra-abdominal hypertension (IAH) is defined as sustained IAP ≥ 12 mmHg.
  • Abdominal compartment syndrome (ACS) is defined as sustained IAP > 20 mmHg with new organ dysfunction.
  • Clinical signs for IAH are deemed unreliable.

Conclusions:

  • Consensus definitions for IAH and ACS aim to improve recognition and treatment.
  • Non-invasive IAP measurement via the bladder technique is crucial.
  • Broader awareness and effective management of this life-threatening syndrome are encouraged.