SciELO - Scientific Electronic Library Online

vol.36 issue4Choronariography in personnel with hidden ischemic heart diseaseEvaluation of the immune cellular response of immunodepressed patients treated with immunostimulants, vitamin supplements and olygoelements author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Revista Cubana de Medicina Militar

Print version ISSN 0138-6557On-line version ISSN 1561-3046


REYES DE LA PAZ, Alexander; LOMBARDO VAILLANT, Ariel  and  RUBIO OLIVARES, Doris Yisell. Predictive value of intra-abdominal pressure in the diagnosis of postoperative abdominal complications. Rev Cub Med Mil [online]. 2007, vol.36, n.4. ISSN 0138-6557.

Aimed at determining the diagnostic discrimination of the measurement of the intra-abdominal pressure in the diagnosis of postoperative intra-abdominal complications, it was designed a screening study that included 190 patients operated on of abdominal surgery that were admitted at "Dr. Luis Díaz Soto" Higher Institute of Military Medicine between May 2000 and December 2005. The study had two phases. In the first, designed to find out the normal interval, the intra-abdominal pressure was measured by the vesical catheterization method in 100 patients operated on that were selected at random, with a satisfactory evolution. Such an interval was in the range from 1 to 15 cm of H2O. In the second phase of the study, relaparotomy was used as a "gold test", and the intra-abdominal pressure was measured previous to the operation of 90 patients with unfavorable postoperative evolution that had to undergo surgery again. The patients who had emergency operations presented more complications (67.8 %) than those who underwent elective surgery (32.2 %). It was observed a prevalence of infectious intra-abdominal complications (54.5 %). The diagnostic discrimination of the test allowed its use with a high degree of reliability and accuracy for the diagnosis of postoperative intra-abdominal complications. There was a considerable relationship between intra-abdominal pressure, respiratory frequency, diuresis and PO2/FiO2 ratio.

Keywords : Intra-abdominal pressure; postoperative complications.

        · abstract in Spanish     · text in Spanish


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License