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Titolo:
TEMPORARY ABDOMINAL CLOSURE - A PROSPECTIVE EVALUATION OF ITS EFFECTSON RENAL AND RESPIRATORY PHYSIOLOGY
Autore:
SUGRUE M; JONES F; JANJUA KJ; DEANE SA; BRISTOW P; HILLMAN K;
Indirizzi:
LIVERPOOL HOSP,DEPT TRAUMA,ELIZABETH ST SYDNEY NSW 2170 AUSTRALIA UNIV SYDNEY,DEPT SURG & TRAUMA SYDNEY NSW 2006 AUSTRALIA UNIV SYDNEY,DEPT INTENS CARE SYDNEY NSW 2006 AUSTRALIA
Titolo Testata:
The journal of trauma, injury, infection, and critical care
fascicolo: 5, volume: 45, anno: 1998,
pagine: 914 - 921
Fonte:
ISI
Lingua:
ENG
Soggetto:
EXPANDED POLYTETRAFLUOROETHYLENE PATCH; INCREASED INTRAABDOMINAL PRESSURE; PLANNED MULTIPLE LAPAROTOMIES; COMPARTMENT SYNDROME; WALL DEFECTS; BLOOD-FLOW; PERITONEAL INSUFFLATION; DIFFUSE PERITONITIS; APACHE-II; REPAIR;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
49
Recensione:
Indirizzi per estratti:
Citazione:
M. Sugrue et al., "TEMPORARY ABDOMINAL CLOSURE - A PROSPECTIVE EVALUATION OF ITS EFFECTSON RENAL AND RESPIRATORY PHYSIOLOGY", The journal of trauma, injury, infection, and critical care, 45(5), 1998, pp. 914-921

Abstract

This study prospectively analyzed outcomes in 49 consecutive patientsundergoing temporary abdominal closure (TAC) between 1993 and 1996 ata single university hospital. There were 37 males and 12 females, mean age was 57 years (range, 25-79 years), mean Acute Physiology and Chronic Health Evaluation score was 27 (+/-7.8 SD), and mean Simplified Acute Physiology II score was 53.0 (+/-15.4). The reason for TAC was decompression in 22 patients, inability to close the abdomen in 10 patients, to facilitate reexploration for sepsis in 8 patients, and multifactorial in 9 patients. After TAC, there was a significant reduction inintra-abdominal pressure from 24.2 +/- 9.3 to 14.1 +/- 5.5 mm Hg and improvement in lung dynamic compliance from 24.1 +/- 7.9 to 27.6 +/- 9.4 mL/cm H2O (p < 0.05). Although 10 patients experienced brisk diuresis, there was no significant improvement in renal function; in fact, serum creatinine increased. The median length of stay was 35 days (range, 1-232 days), The mean number of abdominal operations after mesh insertion was 2.6 +/- 2.4. There were 21 deaths, for a standardized mortality rate of 0.80, Although it achieved significant reductions in abdominal pressures and improved lung dynamic compliance, TAC did not result in improved renal function or patient oxygenation.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/11/20 alle ore 16:29:07