Intraabdominal Hypertension and Pancreatogenic Peritonitis
https://doi.org/10.16931/1995-5464.2016441-46
Abstract
Aim. To define the prognostic value of intra-abdominal pressure monitoring in the treatment of patients with pancreatic necrosis in aseptic and infectious phases.
Material and Methods. The article shows the results of measurements and dynamics of intra-abdominal pressure in 78 patients with pancreatogenic peritonitis.
Results. It was established that pancreatogenic peritonitis was complicated by increased intra-abdominal pressure and the development of intra-abdominal hypertension in 97.8%. A correlation between IAP and severity of abdominal and retroperitoneal inflammation (p < 0.05), as well as between IAP and APACHE II score was determined (p < 0.05).
Conclusion. Prolonged abdominal hypertension promotes the development of multiple organ failure and requires a laparotomy in order to reduce the intra-abdominal pressure via abdominal and retroperitoneal spaces sanitation
About the Authors
V. F. Zubritskiy
Institute of Medical and Social Technologies at Moscow State University of Food Production
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor, Chief Surgeon of Ministry of Internal Affairs of Russia, Head of the Department of Surgery with the Courses of Anesthesiology and Reanimatology, Neurosurgery, Traumatology and Orthopedy. Institute of Medical and Social Technologies at the Moscow State University of Food Production; Honorary Doctor of Chechen Republic, Honorary Doctor of the Russian Federation, Colonel of Internal Service
M. V. Zabelin
Institute of Medical and Social Technologies at Moscow State University of Food Production
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor of the Department of Surgery with the Courses of Anesthesiology and Reanimatology, Neurosurgery, Traumatology and Orthopedy. Institute of Medical and Social Technologies at the Moscow State University of
Food Production
A. P. Koltovich
Institute of Medical and Social Technologies at Moscow State University of Food Production
Russian Federation
Russian Federation
Doct. of Med. Sci, Chief Surgeon at the Main Clinical Hospital of the Ministry
of Internal Affairs of Russia, Professor of the Department of Surgery with the Courses of Anesthesiology and Reanimatology, Neurosurgery, Traumatology and Orthopedy. Institute of Medical and Social Technologies at Moscow State University of Food
Production, Colonel of Internal Service
A. L. Levchuk
Pirogov National Medical and Surgical Center
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor of the Department of Surgery with the Course of Traumatology and Orthopedy at the Institute of Postgraduate Education, Pirogov National Medical Surgical Center
A. T. Airapetyan
Institute of Medical and Social Technologies at Moscow State University of Food Production
Russian Federation
Russian Federation
Cand. of Med. Sci., Professor at the Department of Surgery with the Courses of
Anesthesiology and Reanimatology, Neurosurgery, Traumatology and Orthopedy. Institute of Medical and Social Technologies at Moscow State University of Food Production.
I. V. Golubev
Pirogov National Medical and Surgical Center
Russian Federation
Russian Federation
Postgraduate Student of the Department of Surgical Infections, Pirogov National Medical Surgical Center
E. P. Rozberg
Institute of Medical and Social Technologies at Moscow State University of Food Production
Russian Federation
Russian Federation
Doct. of Med. Sci., Professor at the Department of Surgery with the Courses of Anesthesiology and Reanimatology, Neurosurgery, Traumatology and Orthopedy.
Moscow State University of Food Production
D. N. Korenev
Institute of Medical and Social Technologies at Moscow State University of Food Production
Russian Federation
Russian Federation
Teacher at the Department of Surgery with the Courses of Anesthesiology and Reanimatology, Neurosurgery, Traumatology and Orthopedy. Moscow State University of Food Production
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Review
For citations:
Zubritskiy V.F., Zabelin M.V., Koltovich A.P., Levchuk A.L., Airapetyan A.T., Golubev I.V., Rozberg E.P., Korenev D.N. Intraabdominal Hypertension and Pancreatogenic Peritonitis. Annaly khirurgicheskoy gepatologii = Annals of HPB Surgery. 2016;21(4):41-46. https://doi.org/10.16931/1995-5464.2016441-46
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