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2015, Number 3

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Rev Cub Med Int Emerg 2015; 14 (3)

Determination of the intraabdominal pressure in the postoperative evolution of the abdominal surgery

Núñez MJF, Almeida AMH, Gómez CR, Madruga VC, Jorrin BY, Flores GI

Language: Spanish
References: 33
Page: 28-41
PDF size: 332.79 Kb.


ABSTRACT

Introduction: Intraabdominal infection is an important cause of mobility and mortality in sick persons in intensive care; oscillating the later between 20- 40% in spite of the multiple advances in antimicrobial therapy and the support cares offered in specialized rooms.
Objective: To evaluate the benefits in the application of the intraabdominal pressure monitored in the evolution to the patients with abdominal surgery.
Method: Analytic and prospective investigation of intervention at Dr. Mario Muñoz Monroy Hospital in Matanzas in a year period. Thirty-five patients that were admitted at general intensive care service were evaluated. These data were processed for the percentage method and led to charts and graphics for their understanding.
Results: The laparotomy was used in the thirty-five patients, the 42.9% of them by presenting any intraabdominal hypertension degree. The 53.3% of the patients with a second surgery presented degree II of intraabdominal hypertension, followed by a 33.3% with degree I. The 86.7% of the patients that needed a second surgery presented intraabdominal infection, being intraabdominal collections the most significant.
Conclusions: In the obtained results it was evidenced that this surgical entity has high index of posterior reintervention, as well as it was possible also to diminish the lethality in this type of surgery, the reduction of their permanence in the hospital and the extra abdominal complications.


REFERENCES

  1. Gómez Hernández MM, Morales Wong MM, González Ortega JM, López Cuevas Z C. Cirugía de control de daños. Rev Cubana Cir [revista en la Internet]. 2006 Mar [citado 3 Jun 2011]; 45(1): [aprox. 6 p.] Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034749320060001000 10&lng=es

  2. Burch JM, Moore EE, Francoise R. The abdominal compartiment syndrome. Surg Clin North Am. 1998 Jul 15;76(4):833-41.

  3. Kashuk JI, Moore EE, Millikan JS. Major abdominal vascular trauma: A unified aggroach. J Trauma. 1982;22:672-9.

  4. Emerson H. Intraabdominal pressures. Arch Intern Med. 1998;7:754-84.

  5. Kron Irving L. The measurement of intraabdominal pressure a a criterion for abdominal re – exploration. Ann Surg. 2000 Jan;1:28-30.

  6. Medrano Montero E, Reytor Gutierrez MR, Avilés Cruz CP, Bedia González JA. La reintervención quirúrgica como tratamiento de la hipertensión intraabdominal. Rev Cubana Cir [revista en la Internet]. 2007 Mar [citado 3 Mar 2011]; 46(1): [aprox. 7 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 74932007000100008&lng=es.

  7. Filgueiras Ramos B, Bembibre Taboada R, Corona Martínez LA, Soler Morejón C. Monitoreo de la presión intraabdominal (PIA) en el paciente quirúrgico grave. Rev Cubana Cir [revista en la Internet]. 2001 Mar [citado 3 Mar 2011];40(1):18-23. http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 74932001000100003&lng=es.

  8. Iñaguazo Sánchez D A, Mora Lazo J, Cobos Mina J. Cirugía de control de daños: alternativa quirúrgica eficaz para el trauma hepático grave. Rev Cubana Cir [revista en la Internet]. 2007 Jun [citado 3 Feb 2013];46(2): [aprox. 6 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 74932007000200010&lng=es.

  9. Asensio JA, Navarro-Soto S, Forno W, Roldan G, Rivas L M, Salim A, et al. Lesiones vasculares abdominales: El desafío del cirujano de trauma. Acta méd. costarric [revista en la Internet]. 2001 Jun [citado 3 Feb 2013];43(2):55-63. Disponible en: http://www.scielo.sa.cr/scielo.php?script=sci_arttext&pid=S0001- 60022001000200004&lng=es.

  10. Zaverni LG. Incidence of development and the results of treatment of postoperative peritonitis. Klin Khir. 1998;36:30-2.

  11. Kraemer M, Franke C, Ohmann C. Acute apendicitis in late adulthood: Incidencie, presentation, and outcome. Results of a prospective multicenter acute abdominal pain study and a review of the literature. Arch Surg. 2000;385(7):470-81.

  12. Hutchins RR, Gunning MP, Lucas DN, Allen-Mersh TG, Soni NC. Relaparotomy for suspected intraperitoneal sepsis after abdominal surgery. World J Surg. 2004;28(2):137-41.

  13. O’Mara M, Slater H, Goldfard IW. Prospective, randomized evaluation of intraabdominal pressures with crystalloid and colloid resuscitation in burn patients. J Trauma. 2005;58:1011-8.

  14. Balogh Z, McKinley BA, Cocanour CS. Secondary abdominal compartment syndrome is an elusive early complication of traumatic shock resuscitation. Am J Surg. 2002;184:538-44.

  15. Balogh Z, Jones F, D'Amours S, Parr M, Sugrue M. Continuous intra-abdominal pressure measurement technique. Am J Surg. 2004;188:679-84.

  16. Malbrain MLNG, Chiumello D, Pelosi P. Incidence and prognosis of intraabdominal hypertension in a mixed population of critically ill patients: A multiple-center epidemiological study. Crit Care Med. 2005;33:315-22.

  17. Filgueiras Ramos B, Bembibre Taboada R, Corona Martínez LA. Monitoreo de la presión intraabdominal (PIA) en el paciente quirúrgico grave. Rev Cubana Cir. 2001;40(1):18-23.

  18. Navarros S, Rebasaa P, Vázquez A. Hipertensión abdominal y cirugía descompresiva. Experiencia clínica. Cir Esp. 2007;82(2):117-21.

  19. Sosa Hernández R, Sánchez Portela CA, Hernández Iglesias SS. Presión intraabdominal y síndrome compartimental en cirugía. Artículo de revisión. Rev Ciencias Médicas [revista en la Internet]. 2007 Mar [citado 3 Feb 2013];11(1): 83-98. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561- 31942007000100011&lng=es.

  20. Moscoso A, Isaza A, Rizo M I, Pinilla D, Sánchez S, Cubillo L M. Experiencia en el manejo quirúrgico del síndrome de compartimento abdominal en el Hospital Occidente de Kennedy. Rev. Cienc. Salud [serial on the Internet]. 2007 Dec http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S1692- 72732007000300004&lng=en.

  21. Reyes de la Paz A, Lombardo Vaillant A, Rubio Olivares D Y. Valor predictivo de la presión intra-abdominal en el diagnóstico de complicaciones posoperatorias abdominales. Rev Cub Med Mil [revista en la Internet]. 2007 Dic [citado 3 Feb 2013]; 36(4): [aprox. 7 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138- 65572007000400003&lng=es.

  22. Estévez Álvarez N, Rivero Martínez N, Estévez Trujillo NM, Rodríguez Díaz B, Cruz Alonso J R. Intra-abdominal pressure measurement, a diagnostic tool for family physician. Rev Cubana Med Gen Integr [revista en la Internet]. 2010 Sep [citado 3 Feb 2013]; 26(3): [aprox. 6 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864- 21252010000300011&lng=es.

  23. Rodríguez Ramírez R. Relaparotomía de urgencia por peritonitis secundaria. Rev Cubana Cir. 1999;38(1):79-83.

  24. Medrano Montero E, Batista Ojeda I, Terrero de la Cruz J, Fernández Chelala B, Ocampo Truebas J, Miranda Lorenzo D. Síndrome compartimental abdominal: Presentación de dos casos. Rev Cubana Cir [revista en la Internet]. 2006 Dic [citado 3 Feb 2013]; 45(34): [aprox. 6 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 74932006000300009&lng=es

  25. Holzheirmer RG, Gathof B. Re-operation for complicated peritonitis how to identify patients at risk for persistent sepsis. Eur J Med Res. 2003;8(3):125-34.

  26. Díaz S, Ríos Diana C, Solórzano F, Calle Carlos A, Penagos D, Matallana Rogelio ,et al . Microbiología de la peritonitis secundaria adquirida en la comunidad, Clínica CES. rev. colomb. cir. [serial on the Internet]. 2012 Jan [citado 3 Feb 2013]; 27(1): 40-45. Disponible en: http://www.scielo.org.co/scielo.php?script=sci_arttext&pid=S2011- 75822012000100005&lng=en.

  27. Morales Díaz IA, Delgado Alonso A, Perez Migueles L. Spreading intra-abdominal sepsis: analysis of 110 patients operated on during 10 years. Rev Cubana Cir [revista en la Internet]. 2009 Dic [citado 3 Feb 2013];48(4): [aprox. 7 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 74932009000400009&lng=es

  28. Lombardo Vaillant T A, Reyes Ávalos N, Soler Morejón C, Lombardo Vaillant J, Fiol Zulueta A. Valor predictivo del índice de peritonitis de Mannheim en pacientes con colecistitis aguda. Rev Cub Med Mil [revista en la Internet]. 2010 Mar [citado 3 Feb 2013];9(1): [aprox. 6 p.]. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138- 65572010000100002&lng=es.

  29. Malbrain MLGN, Chiumello D, Pelosi P, Bifari D, Innes R. Incidence and prognosis of intra-abdominal hypertension in mixed population of critically ill patients: a multicenter epidemiological study. Crit Care Med. 2005;33(2):315- 322.

  30. Hunter JD, Damani Z.Intra-abdominal hypertension and the abdominal compartment syndrome. Anaesthesia. 2004;59:899-907.

  31. Dellinger RP, Carlet JM, Masur H, Gerlach H, Calandra T, Cohen J. Superviving sepsis campaign guidelines for management of severe sepsis and septic shock. Crit Care Med. 2004;32(3):35-48.

  32. Medrano Montero E, Ramírez Pu R, Medina Meriño C, Miranda Lorenzo D. Medición de la presión intraabdominal para la vigilancia posoperatoria de la cirugía abdominal. Rev Cubana Cir [revista en la Internet]. 2007 Dic [citado 3 Feb 2013];46(4): [aprox. 7 p.] . Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0034- 74932007000400004&lng=es.

  33. Ruiz Ferrón F, Tejero Pedregosa A, Ruiz García M, Ferrezuelo Mata A, Pérez Valenzuela J, Quirós Barrera R, et al. Presión intraabdominal y torácica en pacientes críticos con sospecha de hipertensión intraabdominal. Med. Intensiva [revista en la Internet]. 2011 Jul [citado 3 Feb 2013];35(5):274-279. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S0210- 56912011000500003&lng=es




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