ArticleThe British journal of surgery2016
Decompressive laparotomy for abdominal compartment syndrome.
Article in The British journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it, 78 citations in OpenAlex.
- Timing of surgical intervention for compartment syndrome in different body region: systematic review of the literature.World journal of emergency surgery : WJES · 2020Pooled it
- Effect of decompressive laparotomy on organ function in patients with abdominal compartment syndrome: a systematic review and meta-analysis.Critical care (London, England) · 2018Pooled it
- Article
- Characteristics and Outcome Analysis for Intensive Care Patients Undergoing Decompressive Laparotomy for Abdominal Compartment Syndrome: Impact of Extracorporeal Membrane Oxygenation Support.Journal of clinical medicine · 2023Article
- Abdominal Compartment Syndrome in Acute Pancreatitis: A Narrative Review.Diagnostics (Basel, Switzerland) · 2022Review
- Article
- Woman with abdominal distension and cardiac arrest.Journal of the American College of Emergency Physicians open · 2022Article
- Computed tomographic assessment of lung aeration at different positive end-expiratory pressures in a porcine model of intra-abdominal hypertension and lung injury.Intensive care medicine experimental · 2021Article
- Role of intra-abdominal pressure in the outcomes of perforation peritonitis: A prospective observational study.Turkish journal of surgery · 2021Article
- Abdominal compartment syndrome among surgical patients.World journal of gastrointestinal surgery · 2021Review
- Abdominal Decompression after Cardiac Surgery: Outcome of 42 Patients with Abdominal Compartment Syndrome.World journal of surgery · 2021Article
- Secondary ARDS Following Acute Pancreatitis: Is Extracorporeal Membrane Oxygenation Feasible or Futile?Journal of clinical medicine · 2021Article
- An Ingestible Electronics for Continuous and Real-Time Intraabdominal Pressure Monitoring.Journal of personalized medicine · 2020Article
- A Clinician's Guide to Management of Intra-abdominal Hypertension and Abdominal Compartment Syndrome in Critically Ill Patients.Critical care (London, England) · 2020Review
- Multidisciplinary Approach to Treating Severe Acute Pancreatitis in a Low-Volume Hospital.World journal of surgery · 2019Article
- Abdominal compartment syndrome and intra-abdominal hypertension in critically ill patients: diagnostic value of computed tomography.European radiology · 2019Observational
- Lessons from Trauma Care: Abdominal Compartment Syndrome and Damage Control Laparotomy in the Patient with Gastrointestinal Disease.Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract · 2019Article
- Abdominal Compartment Syndrome: Improving Outcomes With A Multidisciplinary Approach - A Narrative Review.Journal of multidisciplinary healthcare · 2019Review
- Abdominal Compartment Syndrome as a Multidisciplinary Challenge. A Literature Review.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2018Review
- [Intestinal cross-talk : The gut as motor of multiple organ failure].Medizinische Klinik, Intensivmedizin und Notfallmedizin · 2018Review
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Authors and funding
10 authors at 9 institutions in 6 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe effect of decompressive laparotomy on outcomes in patients with abdominal compartment syndrome has been poorly investigated. The aim of this prospective cohort study was to describe the effect of decompressive laparotomy for abdominal compartment syndrome on organ function and outcomes.
methodsThis was a prospective cohort study in adult patients who underwent decompressive laparotomy for abdominal compartment syndrome. The primary endpoints were 28-day and 1-year all-cause mortality. Changes in intra-abdominal pressure (IAP) and organ function, and laparotomy-related morbidity were secondary endpoints.
resultsThirty-three patients were included in the study (20 men). Twenty-seven patients were surgical admissions treated for abdominal conditions. The median (i.q.r.) Acute Physiology And Chronic Health Evaluation (APACHE) II score was 26 (20-32). Median IAP was 23 (21-27) mmHg before decompressive laparotomy, decreasing to 12 (9-15), 13 (8-17), 12 (9-15) and 12 (9-14) mmHg after 2, 6, 24 and 72 h. Decompressive laparotomy significantly improved oxygenation and urinary output. Survivors showed improvement in organ function scores, but non-survivors did not. Fourteen complications related to the procedure developed in eight of the 33 patients. The abdomen could be closed primarily in 18 patients. The overall 28-day mortality rate was 36 per cent (12 of 33), which increased to 55 per cent (18 patients) at 1 year. Non-survivors were no different from survivors, except that they tended to be older and on mechanical ventilation.
conclusionDecompressive laparotomy reduced IAP and had an immediate effect on organ function. It should be considered in patients with abdominal compartment syndrome.
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