Abstract

PAJARO MEDINA, Magdevy; LEON CABRERA, Licet; LEYVA PEGUERO, Yileisy  and  ASCANIO RODRIGUEZ, Carlos. Variations of the intraabdominal pressure as complication criterium in operated patients. MEDISAN [online]. 2015, vol.19, n.3, pp. 345-353. ISSN 1029-3019.

A descriptive case series study of 67 children with abdominal surgery, admitted in the Intensive Care Unit of the Southern University Pediatric Hospital in Santiago de Cuba was carried out from September, 2010 to August, 2014, in order to control the magnitude and variations of the intraabdominal pressure to use them as criterion of postoperative complication. The procedure was carried out in the first 24 hours of the postoperative period and immediately before the reintervention which was necessary in 11 affected patients, for whom the vesical probe was used. The male sex (58.2%), the age group 5-14 years and the anemia as the mostly associated disorder prevailed. The most frequent cause in abdominal surgery was the acute appendicitis (32.8%), and the patients with this disease turned out to be those who mostly needed reinterventions (45.4%). The intraabdominal pressure in the immediate postoperative period was high in all the cases with a second surgery

Keywords : child; abdominal surgery; intraabdominal hypertension; compartimental abdominal syndrome; secondary health care.

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