Abdominal Compartment Syndrome in Patients with Abdominal Sepsis

Kryvoruchko I. A., Antonova M. S., Tonkoglas O. A., Goni S.-K. T. Abdominal Compartment Syndrome in Patients with Abdominal Sepsis. Journal of Education, Health and Sport. 2017;7(3):449-456. eISSN 2391-8306. DOI http://dx.doi.org/10.5281/zenodo.399313

http://ojs.ukw.edu.pl/index.php/johs/article/view/4362

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This is an open access article licensed under the terms of the Creative Commons Attribution Non Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted,

non commercial use, distribution and reproduction in any medium, provided the work is properly cited.

The authors declare that there is no conflict of interests regarding the publication of this paper.

Received: 21.03.2017. Revised 22.03.2017. Accepted: 23.03.2017.

Abdominal Compartment Syndrome in Patients with Abdominal Sepsis

I. A. Kryvoruchko, M. S. Antonova, O. A. Tonkoglas, S.-K. T. Goni

Kharkov National Medical University Ministry of Health of Ukraine

Abstract

Investigations were carried out in 53 patients who were operated on in 2015 about abdominal sepsis (AS). All patients were assigned according the severity of the condition, which was determined depending on the severity of the systemic inflammatory response and multiple organ failure: I group - patients with AS (28); II group - patients with severe AS (14); III group - patients with septic shock (11). Surgical management of all patients included two major components: control source of infection (source control) and control of organ damaged and the protective mechanisms system (damage control). In the first group, the laparotomy ended by suturing the wounds tightly with traditional drainage; in groups II and III surgical treatment were supplemented by the use of techniques aimed at the prevention and reduction of elevated intra-abdominal pressure. Studies have shown that 100 % of patients with AS showed an increase in intra-abdominal pressure and the development of intra-abdominal hypertension. While ACS developed in 18.9 % of cases (4 patients with severe sepsis and 6 - with septic shock). The highest mortality rate was observed among patients with grade III and IV intra-abdominal hypertension (11 of 25 patients).

Key words: intra-abdominal pressure, abdominal sepsis, abdominal compartment syndrome, treatment.