[Efficacy of decompression treatment of abdominal compartment syndrome].

INTRODUCTION

Abdominal compartment syndrome (ACS) is an entity that represents a latent problem in the patient subjected to laparotomy.

OBJECTIVE

To evaluate the effectiveness of decompressive treatment of ACS.

MATERIAL AND METHODS

We studied patients subjected to decompressive treatment for diagnosis of SCA from May 1 to November 30, 2001 prospectively. We evaluated intraabdominal pressure (IAP), peak pressure of air way (J)PVA), oxygen available index (OAi), ventilation-perfussion index and uresis, before, after, and at 48 h of decompressive surgery. The data were treated statistically with paired student t test taking as significant p < 0.05 using percentages for qualitative variables and average with standard deviation for quantitative variables.

RESULTS

We included 10 patients; three died (30%). Alone it VP & it descended significantly after compression (1 > < 0.05). Uresis, PPVA, OlA and VPI were carried out 48 h of decompressive surgery.

CONCLUSIONS

Decompressive treatment is effective in ACS, showing immediate decreased of IAP and improvement of the hemodynamic variables after 48 h post-surgery.