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Related Concept Videos

Healing II: Complications01:24

Healing II: Complications

Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...
Burn Injuries01:22

Burn Injuries

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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

Inflammatory Bowel Disease I: Ulcerative Colitis

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Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

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Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

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Acute Pancreatitis II: Pathophysiology

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Related Experiment Video

Updated: Jun 22, 2026

A Swine Burn Model for Investigating the Healing Process in Multiple Depth Burn Wounds
02:49

A Swine Burn Model for Investigating the Healing Process in Multiple Depth Burn Wounds

Published on: February 23, 2024

Abdominal complications after severe burns.

Katharine W Markell1, Evan M Renz, Christopher E White

  • 1United States Army Institute of Surgical Research, Fort Sam Houston, TX, USA.

Journal of the American College of Surgeons
|May 30, 2009
PubMed
Summary

Abdominal catastrophe without direct abdominal injury affects 2.8% of severely burned patients, leading to high mortality. Early monitoring of abdominal compartment pressures and surgical intervention are recommended to improve outcomes for these critical burn patients.

Related Experiment Videos

Last Updated: Jun 22, 2026

A Swine Burn Model for Investigating the Healing Process in Multiple Depth Burn Wounds
02:49

A Swine Burn Model for Investigating the Healing Process in Multiple Depth Burn Wounds

Published on: February 23, 2024

Area of Science:

  • Trauma Surgery
  • Critical Care Medicine
  • Burn Management

Background:

  • Abdominal catastrophe in severely burned patients without abdominal trauma is a recognized but concerning complication.
  • An increased incidence of this complication was observed in the acute resuscitation and later hospital course.
  • The study aimed to define the incidence, outcomes, and contributing factors of this condition.

Purpose of the Study:

  • To determine the incidence of abdominal catastrophe in severely burned patients without abdominal trauma.
  • To identify factors associated with abdominal catastrophe, including resuscitation volume and treatment strategies.
  • To evaluate outcomes and mortality associated with this complication.

Main Methods:

  • A retrospective review of severely burned military and civilian patients with abdominal pathology from March 2003 to February 2008.
  • Data collected included patient demographics, burn characteristics, injury severity, resuscitation details, and interventions.
  • A Delphi panel of experienced surgeons reviewed the data to assess abdominal catastrophes.

Main Results:

  • Abdominal pathology occurred in 6.6% of 1,825 burn patients; abdominal catastrophe in 2.8% (51 patients).
  • Abdominal compartment syndrome was present in 32 of 51 cases, with incidence correlating to burn size.
  • High mortality (78%) was observed, with a subset presenting with ischemic bowel later in their course.

Conclusions:

  • Abdominal catastrophe without trauma occurs in 2.8% of severely burned patients, with a high associated mortality.
  • Experts recommend aggressive monitoring of abdominal compartment pressures.
  • Earlier operative management is suggested to improve outcomes in these critically ill patients.