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- Title
Non-ICU-Based Staged Management of Laparotomy-Related Abdominal Compartment Syndrome in a 23-Year-Old Male.
- Authors
Mensah, Kofi Tawiah
- Abstract
Introduction: Abdominal compartment syndrome (ACS) is a sustained intraabdominal pressure (IAP) of 20mmHgor higher with new organ dysfunction. Decompression is required when IAP exceeds 25mmHgeven without evidence of organ dysfunction. Common abdominal surgical diseases and operations can be complicated by ACS, and clinicians should have the requisite capacity to detect and intervene early enough. Intensive care unit (ICU) care has traditionally been the mainstay of ACS management. Case Presentation: A 23-year-old male was referred with a combined mesh and Bogota bag anterior abdominal construct after a midline laparotomy 24 hours earlier, following which the abdominal wall could not be closed primarily without tension. This was the result of significant edema of the bowel and retroperitoneum. This patient, after adequate resuscitation, underwent a twostaged procedure, 6 days apart, to achieve skin closure. After an unremarkable skin healing, a mesh repair for the consequent incisional hernia was carried out 15 months later. Conclusions: This patient'sACSwassuccessfullymanagedin a non-ICU settingandcould demonstrate the possibility of successfully managing selected cases of laparotomy-related ACS in low-resource settings without ICU facilities.
- Subjects
INTRA-abdominal pressure; INTRA-abdominal hypertension; INTENSIVE care units; ABDOMINAL diseases; ABDOMINAL wall; OPERATIVE surgery; SURGICAL meshes
- Publication
Zahedan Journal of Research in Medical Sciences, 2022, Vol 24, Issue 1, p1
- ISSN
2008-7977
- Publication type
Case Study
- DOI
10.5812/zjrms.103510