Abstract

SOSA HERNANDEZ, Roberto; SANCHEZ PORTELA, Carlos A  and  HERNANDEZ IGLESIAS, Sergio Santiago. Intraabdominal pressure and compartment syndrome in surgery. Review article. Rev Ciencias Médicas [online]. 2007, vol.11, n.1, pp.83-98. ISSN 1561-3194.

Intraabdominal hypertension is defined as the pressure increase within the abdominal cavity above 10 cm. H2O, and is classified into 4 degrees according to the severity: I, 10 - 15 cm. H2O; II, 16 - 25 cm. H2O; III, 26 - 35 cm. H2O; and IV, greater than 35 cm. H2O. The interest in the IP (Intraabdominal Pressure) and its measurements began in the last half of the 19th. century. In the review of the literature it was found that, since the beginning of the century, in U.S.A. IP was first measured, until a standardized method was proposed to measure it, with the help of a Foley's probe, transvesically, by the half of the century. As multiple factors were determined that increase IP, the causes that trigger system pathological changes were known, as well as the emergence of clinical manifestations and abdominal compartment syndrome of degree III and IV, which allowed to take a less risky and earlier surgical stand.

Keywords : HYPERTENSION; SURGERY; BOWELS; blood irrigation; ABDOMEN; physiology; ABDOMINAL TRAUMA; COMPARTMENT SYNDROME.

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