Síndrome compartimental abdominal en cirugía vascularManejo y revisión bibliográfica
- Salvador Calvo, R.
- Mengíbar Fuentes, Lucas
- Revilla Calavia, Alvaro
- Merino Díaz, Borja
- Gastambide, María Victoria
- Brizuela, J. A.
- González Fajardo, J. A.
- Gutiérrez Alonso, Vicente
- Carrera, S.
- Vaquero Puerta, Carlos
ISSN: 1139-8264
Año de publicación: 2010
Volumen: 13
Número: 4
Páginas: 179-182
Tipo: Artículo
Otras publicaciones en: Revista española de investigaciones quirúrgicas
Resumen
INTRODUCTION. The abdominal compartmental syndrome (SCA) is a complication that associates an important morbi-mortality in the vascular patient. The objective of our paper is to review the scientific bibliography in order to modernize rules of management of the SCA and the associated consequences. MATERIAL AND METHODS. We reviewed the scientific literature of the last years that deal with diagnosis and therapeutic of the SCA. We used the data base of the National Library of Medicine (PubMed). The study was limited to articles published in 10 last years, in English and Spanish language that they have an abstract on-line. The key words introduced for the search was abdominal compartment symdrome, vascular surgery, ruptured aneurysm. RESULTS. With these parameters we found 84 works, 46 of them makes direct reference to our aim while the 38 remaining works were discarded by not adjusting to the purpose of the search. 16 of them were analyzed. CONCLUSIONS. The vascular patient presents high risk in order to develop the SCA for it would be monitorized the intraabdominal pressure in the unit of intensive cares after the surgery. The surgical decompression should reserve for those patient with refractory SCA to the medical treatment, using a system of vacuum assisted closure (VAC) whenever it is possible.