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腹腔镜腹股沟疝修补术中腹腔内压监测的一项横断面研究。

INTRA-ABDOMINAL PRESSURE MONITORING DURING LÁZARO DA SILVA'S PROCEDURE FOR VENTRAL HERNIA REPAIR: A CROSS-SECTIONAL STUDY.

机构信息

Universidade Federal de Goiás, Faculty of Medicine, Postgraduate Program in Health Sciences - Goiânia (GO), Brazil.

Hospital Geral de Goiânia Dr. Alberto Rassi - Goiânia (GO), Brazil.

出版信息

Arq Bras Cir Dig. 2024 Jul 19;37:e1813. doi: 10.1590/0102-6720202400020e1813. eCollection 2024.

DOI:10.1590/0102-6720202400020e1813
PMID:39046030
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11259399/
Abstract

BACKGROUND

Maintaining normal intra-abdominal pressure (IAP) levels must be one major outcome of any ventral hernia repair, avoiding hypertension or abdominal compartment syndrome.

AIMS

To evaluate IAP during ventral hernia repair using Lázaro da Silva's procedure.

METHODS

IAP measurements using intravesical pressure were performed during four crucial intraoperative moments. Twenty-eight patients submitted to incisional herniorrhaphy were analyzed.

RESULTS

The IAP increased by 0.5 mmHg during the procedure, regardless of the type of prior laparotomy, sex, age, obesity, or hernia width.

CONCLUSIONS

Despite the IAP increase observed, Lázaro da Silva's procedure did not result in intra-abdominal hypertension or abdominal compartment syndrome.

摘要

背景

维持正常的腹腔内压（IAP）水平必须是任何腹疝修补术的主要结果之一，以避免高血压或腹腔间隔室综合征。

目的

使用拉扎罗·达席尔瓦的方法评估腹疝修补术中的 IAP。

方法

在四个关键的手术时刻使用膀胱内压进行 IAP 测量。对 28 例接受切口疝修补术的患者进行了分析。

结果

无论先前的剖腹术类型、性别、年龄、肥胖或疝宽度如何，手术过程中 IAP 增加了 0.5mmHg。

结论

尽管观察到 IAP 升高，但拉扎罗·达席尔瓦的手术并未导致腹腔内高压或腹腔间隔室综合征。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbd/11259399/841e57026807/0102-6720-abcd-37-e1813-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbd/11259399/b520d0d6ee31/0102-6720-abcd-37-e1813-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbd/11259399/adcc13771414/0102-6720-abcd-37-e1813-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbd/11259399/cce3b5645a51/0102-6720-abcd-37-e1813-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbd/11259399/4cf2f1fe1d60/0102-6720-abcd-37-e1813-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbd/11259399/841e57026807/0102-6720-abcd-37-e1813-gf05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbd/11259399/b520d0d6ee31/0102-6720-abcd-37-e1813-gf01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbd/11259399/adcc13771414/0102-6720-abcd-37-e1813-gf02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbd/11259399/cce3b5645a51/0102-6720-abcd-37-e1813-gf03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbd/11259399/4cf2f1fe1d60/0102-6720-abcd-37-e1813-gf04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4fbd/11259399/841e57026807/0102-6720-abcd-37-e1813-gf05.jpg

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ONLAY VERSUS RIVES-STOPPA TECHNIQUES IN THE TREATMENT OF INCISIONAL HERNIAS.网片式与瑞夫斯-斯托帕技术在切口疝治疗中的比较。
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Long-term Recurrence and Complications Associated With Elective Incisional Hernia Repair.
择期切口疝修补术后的长期复发和并发症。
JAMA. 2016 Oct 18;316(15):1575-1582. doi: 10.1001/jama.2016.15217.
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Intra-Abdominal Hypertension and Abdominal Compartment Syndrome after Abdominal Wall Reconstruction: Quaternary Syndromes?腹壁重建术后腹腔内高压与腹腔间隔室综合征：四元综合征？
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Small bites versus large bites for closure of abdominal midline incisions (STITCH): a double-blind, multicentre, randomised controlled trial.小切口与大切口关闭腹部正中切口的比较（STITCH）：一项双盲、多中心、随机对照试验。
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Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome.腹腔内高压和腹腔间隔室综合征：世界腹主动脉瘤学会更新的共识定义和临床实践指南。
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