Case of Abdominal Compartment Syndrome Treated by using a Bedside Open Linea Alba Fasciotomy
Journal of the Korean Society of Traumatology
; : 56-59, 2011.
Article
in Ko
| WPRIM
| ID: wpr-64866
Responsible library:
WPRO
ABSTRACT
Abdominal compartment syndrome (ACS) is a life-threatening disorder caused by rapidly increasing intraabdominal pressure. ACS can result in multiorgan failure and carries a mortality of 60~70%. The treatment of choice in ACS is surgical decompression. There are very few reports of ACS and experience in Korea. We report 12-year-old male patient who developed an abdominal compartment syndrome due to traffic-accident-induced retroperitoneal hematomas, Which was successfully treated by performing a bedside emergency surgical decompression with open linea alba fasciotomy with intact peritoneum. When patients do not respond to medical therapy, a decompressive laparotomy is the last surgical resort. In patients with severe abdominal compartment syndrome, the use of a linea alba fasciotomy is an effective intervention to lower intra-abdominal hypertension (IAH) without the morbidity of a laparotomy. Use of a linea alba fasciotomy as a first-line intervention before committing to full abdominal decompression in patients with abdominal compartment syndrome improves physiological variables without mortality. Consideration for a linea alba fasciotomy as a bridge before full abdominal decompression needs further evaluation in patients with polytrauma abdominal compartment syndrome.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Peritoneum
/
Decompression, Surgical
/
Emergencies
/
Intra-Abdominal Hypertension
/
Health Resorts
/
Hematoma
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Korea
/
Laparotomy
/
Lower Body Negative Pressure
Limits:
Child
/
Humans
/
Male
Country/Region as subject:
Asia
Language:
Ko
Journal:
Journal of the Korean Society of Traumatology
Year:
2011
Type:
Article