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01-10-2006

Treatment of Abdominal Compartment Syndrome with Subcutaneous Anterior Abdominal Fasciotomy in Severe Acute Pancreatitis

Authors: Ari K. Leppäniemi, MD, PhD, Piia A. Hienonen, MD, Jukka E. Siren, MD, PhD, Anne H. Kuitunen, MD, PhD, Outi K. Lindström, MD, Esko A. J. Kemppainen, MD, PhD

Published in: World Journal of Surgery | Issue 10/2006

Abstract

Background

Managing the abdominal compartment syndrome associated with severe acute pancreatitis by the open abdomen method is associated with considerable morbidity and resource utilization.

Methods

A technique of subcutaneous anterior abdominal fasciotomy is described for the first time in two patients with severe acute pancreatitis.

Results

Following the procedure, the intra-abdominal pressure decreased from 30 mmHg immediately to 23 mmHg and to a sustained level of 12–14 mmHg in the first patient, and from 35 mmHg immediately to 23 mmHg and to a sustained level of 14–19 mmHg in the second patient.

Conclusions

The subcutaneous anterior abdominal fasciotomy is a promising method for safe and effective abdominal decompression with sustained effect and avoiding the morbidity associated with the alternative open abdomen techniques.

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Leppäniemi A, Kemppainen E. Recent advances in the surgical management of necrotizing pancreatitis. Curr Opin Crit Care 2005;11:349–352PubMedCrossRef

Scott BG, Feanny MA, Hirshberg A. Early definitive closure of the open abdomen: a quiet revolution. Scand J Surg 2005;94:9–14PubMed

Dakin GF, Nahouraii R, Gentileschi P, et al. Subcutaneous endoscopic fasciotomy in a porcine model of abdominal compartment syndrome: a feasibility study. J Laparoendosc Adv Surg Tech A 2004;14:339–344PubMed

Werner J, Hartwig W, Hackert T, et al. Surgery in the treatment of acute pancreatitis—open pancreatic necrosectomy. Scand J Surg 2005;94:1130–1134

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Title: Treatment of Abdominal Compartment Syndrome with Subcutaneous Anterior Abdominal Fasciotomy in Severe Acute Pancreatitis
Authors: Ari K. Leppäniemi, MD, PhD
Piia A. Hienonen, MD
Jukka E. Siren, MD, PhD
Anne H. Kuitunen, MD, PhD
Outi K. Lindström, MD
Esko A. J. Kemppainen, MD, PhD
Publication date: 01-10-2006
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 10/2006
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-006-0024-6

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Treatment of Abdominal Compartment Syndrome with Subcutaneous Anterior Abdominal Fasciotomy in Severe Acute Pancreatitis

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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