Transverse Laparostomy for Abdominal Compartment Syndrome in Severe Acute Pancreatitis
Author Information
Author(s): Leppäniemi Ari, Mentula Panu, Hienonen Piia, Kemppainen Esko
Primary Institution: Department of Gastroenterological and General Surgery, Meilahti hospital, University of Helsinki, Helsinki, Finland
Hypothesis
Transverse subcostal laparostomy is a feasible and effective alternative for treating abdominal compartment syndrome in severe acute pancreatitis.
Conclusion
Transverse subcostal laparostomy effectively reduced intra-abdominal pressure and allowed for gradual closure of the abdominal wall without complications.
Supporting Evidence
- Immediately after decompression, the intra-abdominal pressure dropped from 23 mmHg to 10 mmHg.
- The patient's respiratory, cardiovascular, and renal functions improved markedly after the procedure.
- The patient made a full recovery and showed no signs of ventral hernia or other wound complications during follow-up.
Takeaway
Doctors can use a special surgery called transverse laparostomy to help patients with a serious belly problem caused by pancreatitis, and it can help them get better without extra problems.
Methodology
A case report of a patient treated with bilateral subcostal laparostomy for abdominal compartment syndrome.
Limitations
The follow-up period is short, and further comparative studies are needed to establish the technique's effectiveness.
Participant Demographics
A 29-year-old male with a history of traumatic cervical spine fracture.
Digital Object Identifier (DOI)
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