#PAGE_PARAMS# #ADS_HEAD_SCRIPTS# #MICRODATA#

Abdominal Catastrophe – Surgeon’s View


Authors: F. Vyhnánek
Authors‘ workplace: Chirurgická klinika FNKV a 3. LF UK, Praha, přednosta: prof. MUDr. R. Gürlich, CSc.
Published in: Rozhl. Chir., 2010, roč. 89, č. 6, s. 356-360.
Category: Monothematic special - Original

Overview

Abdominal catastrophe is a serious clinical condition, usually being a complication arising during treatment of intraabdominal non-traumatic disorders or abdominal injuries. Most commonly, inflamation- secondary peritonitis, is concerned. Abdominal catastrophe also includes secondary signs of sepsis, abdominal compartment syndrome and enterocutaneous fistules. Most septic abdominal disorders which show signs of abdominal catastrophy, require surgical intervention and reinterventions – planned or „on demand“ laparotomies.

During the postoperative period, the patient requires intensive care management, including steps taken to stabilize his/hers condition, management of sepsis and metabolic and nutritional support measures, as well as adequate indication for reoperations. New technologies aimed at prevention of complications in laparostomies and to improve conditions for final laparotomy closure are used in phase procedures for surgical management of intraabdominal infections. Despite the new technologies, abdominal catastrophe has higher morbidity and lethality risk rates.

Key words:
abdominal catastrophe – planned relaparotomy – open abdomen


Sources

1. Rozycki, G. S., Tremblay, L., Feliciano, D. V., et al. Three hundred consecutive emergent celiotomies in general surgery patiens. Ann. Surg., 2002, 235 (5): 681–689.

2. Lamme, B., Mahler, C. W., van Ruler, O., et al. Clinical predictors of ongoing infection in secondary peritonitis: systemic review. World J. Surg., 2006, 30 (12): 2170–2181.

3. Ordonez, C. A., Puyana, J. C. Management of peritonitis in the critically ill patient. Sur. Clin. N. Am., 2006, 86 (6): 1323–1351.

3. Kushimoto, S., Miyauchi, M., Yokota, H., Kakai, M. Damage control surgery and open abdominal management: recent advances and our approach. J. Nippon Med. Sch., 2009, 76 (6): 280–290.

4. Kem, E. O., Newman, L. N., Cacho, C. P. Schulak, J. A., Weiss, M. F. Abdominal catastrophe revisited: the risk and outcome of enteric peritoneal contamination. Perit. Dia. Int., 2002, 22 (3): 323–334.

5. Vyhnánek, F. Antimikrobní léčba u komplikované nitrobřišní infekce – současný stav. Rozhl. Chir., 2009, 88 (4): 206–213.

6. Lamme, B., Mahler, C. W., van Till, J. W., et al. Relaparotomy in secondary peritonitis. Planned relaparotomy or relaparotomy on demand? Chirurg, 2005, 76 (9): 856–867.

7. Scheppach, W. Abdominal compartment syndrome. Best Practice Research Clinical Gastroenterology, 2009, 23 (1): 25–33.

8. Björck, M., Bruhin, A., Cheatham, M., et al. Classification – important step to improve management of patiens with an open abdomen. World J. Surg., 2009, 33 (6): 1154–1157.

9. Sugrue, M., Buhkari, Y. Intra-abdominal pressure and abdominal compartment syndrome in acute general surgery. World J. Surg., 2009, 33 (6): 1123–.

10. Mazuski, J. E., Solomkin, J. S. Intra-abdominal infections. Surg. Clin. N. Am., 2009, 89 (2): 421–438.

11. Subramonia, S., Pankhurst, S., Rowlands, B., Lobo, D. N. Vakuum-assisted closure of postoperative abdominal wounds: a prospective study. World J. Surg., 2009, 33: 931–937.

12. Martinez, J. L., Luque-de-Leon, E., Mier, J., Blanco-Benavides, R., Robledo, F. Systematic management of postoperative enterocutaneous fistulas : factors related to outcomes. World J. Surg., 2008, 32 (3): 436–443.

13. van Hensbroek, P. B., Wind, J., Dijkgraaf, M. G. W., Busch, O. R. C., Goslings, J. C. Temporary closure of the open abdomen: a systematic review on delayed primary fascikl closure in patiens with an open abdomen. World J. Surg., 2009, 33: 199–207.

14. Visschers, R. J., Olde Damink, S. W. M., Winkens, B., Soesters, P. B., van Gemert, W. G. Treatment strategie in 135 consecutive patiens with enterocutaneous fistulas. World J. Surg., 2008, 32 (3): 445–453.

15. Perez, D., Wolfi, S., Demartines, N., et al. Prospective evaluation of vaccum-asisted closure in abdominal compartment syndrome and severe abdominal sepsis. J. Am. Coll. Surg., 2007, 205 (4): 586–592.

16. Campbell, A., Chang, M., Fabian, T., et al. Management of the open abdomen : from initial operation to definitive closure. Am. Surg., 2009, 75 (11 Suppl.): S 1–22.

Labels
Surgery Orthopaedics Trauma surgery
Topics Journals
Login
Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.

Login

Don‘t have an account?  Create new account

#ADS_BOTTOM_SCRIPTS#