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Intragastric pressure: Useful indicator in the management of congenital diaphragmatic hernia
Kartik Chandra Mandal1, Pankaj Halder1, Shibsankar Barman2
1Department of Pediatric Surgery, Dr. B. C. Roy, PGIPS, Kolkata, West Bengal, India.
Aims:
To assess the role of measuring of intragastric pressure (IGP) during closure of congenital diaphragmatic hernia.
Materials And Methods:
Thirty-two cases were included in the study (August 2008 to February 2014), and IGP has been measured intraoperatively during closure.
Result:
Patients were categorized in group A (15 patients), group B (14 patients) and group C (3 patients). In group C, IGP was more than 30 cm of water pressure and all of tehm required creation of ventral hernia and ventilator support.
Conclusion:
Measurement of IGP as an objective, noninvasive and simple method to evaluate intra-abdominal pressure and prevention of abdominal compartment syndrome and intraoperative IGP value determines the types of abdominal closure.
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