Abstract

MEDRANO MONTERO, Ernesto; RAMIREZ PU, Raúl; MEDINA MERINO, Carlos  and  MIRANDA LORENZO, Delcio. Measurement of intraabdominal pressure for the postoperative surveillance of abdominal surgery. Rev Cubana Cir [online]. 2007, vol.46, n.4, pp. 0-0. ISSN 1561-2945.

A case series study that included 286 laparotomized patients that were admitted at the ICU of “Vladimir Ilich Lenin” General Hospital, in Holguin, between March 4, 1999 and January 29, 2003, was conducted. The objective  was to describe the behavior of age, sex, diagnosis on admission, frequency of intraabdominal postoperative complications, and the result attained in these patients on discharge. According to APACHE II, the prognostic scale of severity was 13.1. The main cause of hospitalization were peritonitis (34.9 %) and polytraumas (19.52 %). Postoperative complications were found in 32.5 % of the patients. Intraabdominal pressure  in the complicated patients was 14.94 ± 4.88 cm H2O; whereas, in those patients without complications it was11.67 ± 4.63 cm H2O (F = 31.4948; p < 0.05). There were 94 deaths (32.8 %) and their intrabdominal pressure was   14.22 ± 5.18 cm H2O. However,  the survivors’ pressure was  12.07 ± 4.74 cm H2O (F = 12.2824; p < 0.05). The patients with postoperative complications and unfavorable results on discharge from the ICU had a higher intrabdominal pressure than those  with a satisfactory evolution.

Keywords : Intraabdominal pressure; postoperative complications; relaparotomy; abdominal compartment syndrome; intraabdominal infections.

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