The role of abdominal hypertension in optimizing the treatment of patients with acute intestinal obstruction

Abstract

The results of examination and treatment of 150 patients with acute intestinal obstruction were studied. A reliable relationship was established between the degree of intra-abdominal hypertension and the severity of the condition of patients with acute intestinal obstruction. The results of our study confirm that monitoring intra-abdominal pressure allows diagnosing acute intestinal obstruction at the initial stages of the disease, determining indications for various modes of operative interventions and the timing of their implementation, predicting the development of possible complications and lethality.

Correlation Between Indicators of Hypovolemia and Response to Infusion Therapy in Fluid Resuscitation of Patients With Septic Shock

“…But most studies of intra-abdominal pressure in patients with intestinal obstruction were carried out before operational intervention. In fact, the problem of obstruction was solved during operation, and most of the intra-luminal contents were evacuated, so the postoperative intra-abdominal pressure was significantly reduced [23]. This may explain why there is a weak positive correlation between PRL-test and infusion response in these patients with a strong positive correlation found in the intestinal obstruction subgroup, but no similar correlation found in the hollow organ perforation subgroup and infected pancreatitis subgroup.…”