Prevention and management of abdominal hypertension and abdominal compartment syndrome after complex abdominal wall hernia surgery

doi:10.3877/cma.j.issn.1674-392X.2024.06.003

Abstract

Abstract:

Complex abdominal wall hernia is a general term for a type of abdominal hernia that is difficult to treat or has a high incidence of complications due to various unfavorable factors.The treatment process involves both changes in the volume of abdominal contents and changes in abdominal wall compliance, which have a direct impact on intra-abdominal pressure.Therefore, the incidence of postoperative intra-abdominal hypertension and abdominal compartment syndrome is significantly higher than other surgical diseases.This article explores the prevention and management measures of intra-abdominal hypertension and abdominal compartment syndrome after complex abdominal hernia surgery from the perspectives of preoperative preparation, intraoperative decision-making, and postoperative management, aiming to improve the perioperative safety of such patients.

Key words: Complex abdominal wall hernia, Complication, Intra-abdominal hypertension, Abdominal compartment syndrome, Prevention

Zhipeng Jiang, Keli Zhong, Shuang Chen. Prevention and management of abdominal hypertension and abdominal compartment syndrome after complex abdominal wall hernia surgery[J]. Chinese Journal of Hernia and Abdominal Wall Surgery(Electronic Edition), 2024, 18(06): 612-615.

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References 30

[1]	Kirkpatrick AW, Roberts DJ, De Waele J, et al.Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome[J].Intensive Care Med, 2013, 39(7): 1190-1206.
[2]	Coţofană M, Muşat F, Păduraru DN, et al.Predictive Factors for Intraabdominal Hypertension after Incisional Hernia Repair[J].Chirurgia(Bucur), 2019, 114(1): 12-17.
[3]	ShuoY, Jie C, Ying Mo, et al.Retrospective research on initiative content reduction technique for obesity patients with huge abdominal incisional hernia[J].Int J Abdom Wall Hernia Surg, 2018, 1(1):19-23.
[4]	Petro CC, Raigani S, Fayezizadeh M, et al.Permissible Intraabdominal Hypertension following Complex Abdominal Wall Reconstruction[J].Plast Reconstr Surg, 2015, 136(4): 868-881.
[5]	杨硕, 陈杰.复杂腹壁疝治疗相关要点[J].中国实用外科杂志,2021, 41(4): 387-391.
[6]	Blatnik JA, Krpata DM, Pesa NL, et al.Predicting severe postoperative respiratory complications following abdominal wall reconstruction[J].Plast Reconstr Surg, 2012, 130(4): 836-841.
[7]	Maluso P, Olson J, Sarani B.Abdominal Compartment Hypertension and Abdominal Compartment Syndrome[J].Crit Care Clin, 2016,32(2): 213-222.
[8]	Montalvo-Jave EE, Espejel-Deloiza M, Chernitzky-Camaño J, et al.Abdominal compartment syndrome: Current concepts and management[J].Rev Gastroenterol Mex(Engl Ed), 2020, 85(4): 443-451.
[9]	杨斌, 陈双, 周军, 等.腹壁巨大切口疝的围手术期处理[J/OL].中华普通外科学文献(电子版), 2009, 3(6): 484-486.
[10]	广东省医师协会疝与腹壁外科医师分会, 深圳市医师协会疝与腹壁外科医师分会, 中华消化外科菁英荟疝与腹壁外科学组.疝修补术后腹腔间隔室综合征预防与处理中国专家共识(2024 版)[J].中华消化外科杂志, 2024, 23(9): 1127-1139.
[11]	Rasmussen M, Lauridsen SV, Pedersen B, et al.Intensive versus short face-to-face smoking cessation interventions: a meta-analysis[J].Eur Respir Rev, 2022, 31(165): 220063.
[12]	宗振, 侯泽辉, 江志鹏, 等.术前渐进性人工气腹准备在复杂腹壁缺损治疗中的应用探讨[J/OL].中华普通外科学文献(电子版),2016, 10(2): 143-145.
[13]	Tang F, Ma N, Li YR, et al.Preoperative Progressive Pneumoperitoneum Enables Defect Closure and Laparoscopic Repair of Large Parastomal Hernias[J].Surg Laparosc Endosc Percutan Tech, 2020, 30(2): 123-128.
[14]	Subirana H, Comas J, Crusellas O, et al.Preoperative Progressive Pneumoperitoneum in the Treatment of Hernias With Loss of Domain.Our Experience in 50 Cases[J].J Abdom Wall Surg, 2023,2: 11230.
[15]	陈双, 宗振.术前渐进性人工气腹在治疗复杂腹壁缺损中的应用[J].外科理论与实践, 2016, 21(2): 108-110.
[16]	Zielinski MD, Goussous N, Schiller HJ, et al.Chemical components separation with botulinum toxin A: a novel technique to improve primary fascial closure rates of the open abdomen[J].Hernia, 2013,17(1): 101-107.
[17]	中华医学会外科学分会疝与腹壁外科学组, 中国医疗保健国际交流促进会临床实用技术分会腹壁修复与重建外科学组.组织结构分离技术规范化操作中国专家共识(2020 版)[J].中国实用外科杂志, 2020, 40(5): 488-493.
[18]	汤福鑫, 马宁, 刘创雄, 等.术前渐进性气腹联合A 型肉毒毒素在巨大切口疝修补术中的应用价值[J].中国普通外科杂志, 2022,31(4): 441-448.
[19]	Giuffrida M, Biolchini F, Capelli P, et al.Botulinum Toxin and Progressive Pneumoperitoneum in Loss of Domain Ventral Hernias:A Systematic Review[J].J Abdom Wall Surg, 2024, 3: 12650.
[20]	周静瑜, 任峰, 周建平.开放人工材料桥接修复腹壁巨大缺损(附58 例报告)[J].外科理论与实践, 2021, 26(5): 420-424.
[21]	Leon M, Chavez L, Surani S.Abdominal compartment syndrome among surgical patients[J].World J Gastrointest Surg, 2021, 13(4):330-339.
[22]	韩晓风, 陈杰, 申英末, 等.主动减容技术在肥胖患者巨大腹壁切口疝修补术中的应用[J/OL].中华疝和腹壁外科杂志(电子版),2015, 9(3): 214-216.
[23]	De Laet IE, Malbrain M, De Waele JJ.A Clinician's Guide to Management of Intra-abdominal Hypertension and Abdominal Compartment Syndrome in Critically Ill Patients[J].Crit Care, 2020,24(1): 97.
[24]	Gottlieb M, Koyfman A, Long B.Evaluation and Management of Abdominal Compartment Syndrome in the Emergency Department[J].J Emerg Med, 2020, 58(1): 43-53.
[25]	Luckianow GM, Ellis M, Governale D, et al.Abdominal compartment syndrome: risk factors, diagnosis, and current therapy[J].Crit Care Res Pract, 2012, 2012: 908169.
[26]	Deeren DH, Dits H, Malbrain ML.Correlation between intraabdominal and intracranial pressure in nontraumatic brain injury[J].Intensive Care Med, 2005, 31(11): 1577-1581.
[27]	Cheatham ML, Safcsak K.Percutaneous catheter decompression in the treatment of elevated intraabdominal pressure[J].Chest, 2011,140(6): 1428-1435.
[28]	De Waele J, Desender L, De Laet I, et al.Abdominal decompression for abdominal compartment syndrome in critically ill patients: a retrospective study[J].Acta Clin Belg, 2010, 65(6): 399-403.
[29]	Ribeiro MA Jr, Barros EA, Carvalho SM, et al.Comparative study of abdominal cavity temporary closure techniques for damage control[J].Rev Col Bras Cir, 2016, 43(5): 368-373.
[30]	Björck M, Wanhainen A.Management of abdominal compartment syndrome and the open abdomen[J].Eur J Vasc Endovasc Surg,2014, 47(3): 279-287.

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