Decompressive laparotomy for reduction of incessant increased intracranial pressure in the absence of abdominal compartment syndrome: A case report

Armanious, Mark; Bacon, Louise; Harris, Johnny; George, Shayla; Goulbourne, Kristen-Kaye; Danner, Omar K.; Matthews, L Ray; Wilson, Kenneth L.

doi:10.5348/ijcri-2013-08-346-cr-5

Cited by 3 publications

(10 citation statements)

References 14 publications

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“…1 depicts two observational retrospective cohort studies and four case reports. Tables 1 and 2 illustrate the features of studies included [9][10][11][12][13][14] and eliminated (with reasons) [19][20][21][22] . Among the six trials examined, 46 patients with TBI and intracranial hypertension were assessed 21) Is a Narrative review Ertel et al 2000 20) Assessment Abdominal and Pelvic trauma.…”

Section: Resultsmentioning

confidence: 99%

“…The quality of the included case reports was assessed using the CARE Check list. Armanious et al 10) and Al-jehani et al 9) are high quality case reports, meeting 28 and 27 quality criteria on the CARE list, respectively. Miglietta et al 13) 22 met 22 out of 30 criteria, yielding a case report of intermediate quality.…”

Section: Resultsmentioning

confidence: 99%

“…In addition to these commonly used treatments, few studies have looked at the effect of several alternative life-saving therapies with different outcomes 7,8) . Decompressive laparotomy is one such treatment, and the researchers evaluated its role in improving the outcome of refractory intracranial hypertension in patients with severe TBI [9][10][11][12][13][14] . In this study, we conducted a systematic review of the literature and addressed the existing data on the role of decompressive laparotomy in patients with severe traumatic brain injury.…”

Section: Introductionmentioning

confidence: 99%

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Decompressive Laparotomy as a Treatment Option for Refractory Intracranial Hypertension in Patients With Traumatic Brain Injury: A Systematic Review

Florez-Perdo¹,

Abdulla

Moscote-Salazar³

et al. 2023

J Neurointensive Care

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Background: Researchers investigated the role of decompressive laparotomy as a novel technique to improve the outcome of refractory intracranial hypertension in patients with severe Traumatic brain injury (TBI). In this paper, we conduct a systematic review of the literature and discuss the existing information on the role of decompressive laparotomy in patients with severe TBI. Methods: A search for RCT, not RCT, prospective and retrospective cohort studies will be carried out through electronic databases. The strategy comprised topic headings (MeSH) such as "Decompressive laparotomy," "traumatic brain damage," "Neurocritical care," and "intracranial hypertension," as well as text words related to Booleans terms. The following data were retrieved individually and separately: mortality, functional independence (modified Rankin scale 0 to 2, or Glasgow Prognostic Scale with a score of 4 or above), and intracranial pressure value before and after Decompressive laparotomy. Results: Following a thorough text review, ten articles were examined for confidentiality, one of which is a narrative review, two of which did not cover traumatic brain injury and one of which included thoracic and neck trauma, and six of which were included for qualitative and quantitative analysis. Among the six trials considered, 46 patients with TBI and intracranial hypertension were evaluated and treated with hyperosmolar treatment and/or Decompressive Craniectomy with Decompressive laparotomy. The Glasgow Outcome Scale was used to evaluate neurological prognosis and functional competence. Conclusions: According to the findings, 8% of the patients were in a chronic vegetative state, 37.93% had severe disability, 33.45% had moderate disability, and the majority (64.3%) were able to return to work with limitations. The remaining 20.6% had mild disability or good functional recovery.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Decompressive Laparotomy as a Treatment Option for Refractory Intracranial Hypertension in Patients With Traumatic Brain Injury: A Systematic Review

Florez-Perdo¹,

Abdulla

Moscote-Salazar³

et al. 2023

J Neurointensive Care

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“…The thoracic and/or cranial compartment syndrome results as an accumulation of air, fluid or blood in the chest and/or skull leading to secondary abdominal compartment syndrome. During the last 10 years many case studies have demonstrated that the urgent decompressive laparotomy was successful to decrease not only the IAP, but also the intra-thoracic and intra-cranial pressures, supporting the correlation of pressures and the existence of polycompartment syndrome [20,21].…”

Section: Discussionmentioning

confidence: 87%

“…The PCS is a rare, extremely serious, life-threatening clinical picture, when two or more compartments have elevated pressures at the same time and upon releasing one of the affected compartments the syndrome disappears [20,21]. Due to its unusual nature it is frequently underdiagnosed and untreated.…”

Section: Polycompartment Syndromementioning

confidence: 99%

Polycompartment syndrome – intra-abdominal pressure measurement

Bodnár

2019

ait

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Intra-abdominal hypertension and the abdominal compartment syndrome are wellknown, serious, life-threatening clinical entities in acute care surgery. A common characteristic of these syndromes is the permanent and irreversible damage that may affect the organs which can be found inside the given compartment if quick intervention cannot be provided. All factors which may and can lead to a sudden increase in the intra-abdominal pressure can be found among the triggering factors of abdominal compartment syndrome. Despite the modern and quick diagnostics, and the adequate surgical interventions performed in time, the mortality of this syndrome is extremely high (38-71%). It affects practically all vital organ systems: cardiovascular, respiratory, urinary and central nervous system. There are four major compartments in the human body: the head, the chest, the abdomen and the extremities. When two or more compartments have elevated pressures the name of the clinical entity is polycompartment syndrome, first described in 2007. The only possible way of establishing the diagnosis is to measure the intra-abdominal pressure, a widespread manner of which is the measurement through the bladder. Treatment of abdominal and polycompartment syndrome is nearly always surgical decompression with temporary abdominal wall closure or open abdominal treatment. Clinicians need to be aware of the real existence of polycompartment syndrome and the complex and constant interplay of raised pressure between compartments. This highlights the importance of research and development of new intra-abdominal pressure measurement techniques.

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Fluid Management, Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome: A Narrative Review

Jacobs

Wise

Myatchin

et al. 2022

Life

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Background: General pathophysiological mechanisms regarding associations between fluid administration and intra-abdominal hypertension (IAH) are evident, but specific effects of type, amount, and timing of fluids are less clear. Objectives: This review aims to summarize current knowledge on associations between fluid administration and intra-abdominal pressure (IAP) and fluid management in patients at risk of intra-abdominal hypertension and abdominal compartment syndrome (ACS). Methods: We performed a structured literature search from 1950 until May 2021 to identify evidence of associations between fluid management and intra-abdominal pressure not limited to any specific study or patient population. Findings were summarized based on the following information: general concepts of fluid management, physiology of fluid movement in patients with intra-abdominal hypertension, and data on associations between fluid administration and IAH. Results: We identified three randomized controlled trials (RCTs), 38 prospective observational studies, 29 retrospective studies, 18 case reports in adults, two observational studies and 10 case reports in children, and three animal studies that addressed associations between fluid administration and IAH. Associations between fluid resuscitation and IAH were confirmed in most studies. Fluid resuscitation contributes to the development of IAH. However, patients with IAH receive more fluids to manage the effect of IAH on other organ systems, thereby causing a vicious cycle. Timing and approach to de-resuscitation are of utmost importance, but clear indicators to guide this decision-making process are lacking. In selected cases, only surgical decompression of the abdomen can stop deterioration and prevent further morbidity and mortality. Conclusions: Current evidence confirms an association between fluid resuscitation and secondary IAH, but optimal fluid management strategies for patients with IAH remain controversial.

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Decompressive laparotomy for reduction of incessant increased intracranial pressure in the absence of abdominal compartment syndrome: A case report

Cited by 3 publications

References 14 publications

Decompressive Laparotomy as a Treatment Option for Refractory Intracranial Hypertension in Patients With Traumatic Brain Injury: A Systematic Review

Decompressive Laparotomy as a Treatment Option for Refractory Intracranial Hypertension in Patients With Traumatic Brain Injury: A Systematic Review

Polycompartment syndrome – intra-abdominal pressure measurement

Fluid Management, Intra-Abdominal Hypertension and the Abdominal Compartment Syndrome: A Narrative Review

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