Skip to main content
Annals of Surgery logoLink to Annals of Surgery
. 1984 Jan;199(1):28–30. doi: 10.1097/00000658-198401000-00005

The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration.

I L Kron, P K Harman, S P Nolan
PMCID: PMC1353253  PMID: 6691728

Abstract

Acute elevation of intra-abdominal pressure above 30 mmHg caused oliguria in 11 postoperative patients. Operative re-exploration and decompression in seven patients resulted in immediate diuresis. Four patients who were not re-explored developed renal failure and died. If intra-abdominal pressure rises above 25 mmHg in the early postoperative period and is associated with oliguria and normal blood pressure and cardiac index, the patient should undergo re-exploration and decompression of the abdomen.

Full text

PDF
30

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Cruikshank D. P., Buchsbaum H. J. Effects of rapid paracentesis. Cardiovascular dynamics and body fluid composition. JAMA. 1973 Sep 10;225(11):1361–1362. [PubMed] [Google Scholar]
  2. Doppman J., Rubinson R. M., Rockoff S. D., Vasko J. S., Shapiro R., Morrow A. G. Mechanism of obstruction of the infradiaphragmatic portion of the inferior vena cava in the presence of increased intra-abdominal pressure. Invest Radiol. 1966 Jan-Feb;1(1):37–53. doi: 10.1097/00004424-196601000-00027. [DOI] [PubMed] [Google Scholar]
  3. Guazzi M., Polese A., Magrini F., Fiorentini C., Olivari M. T. Negative influences of ascites on the cardiac function of cirrhotic patients. Am J Med. 1975 Aug;59(2):165–170. doi: 10.1016/0002-9343(75)90350-2. [DOI] [PubMed] [Google Scholar]
  4. Harman P. K., Kron I. L., McLachlan H. D., Freedlender A. E., Nolan S. P. Elevated intra-abdominal pressure and renal function. Ann Surg. 1982 Nov;196(5):594–597. doi: 10.1097/00000658-198211000-00015. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Kashtan J., Green J. F., Parsons E. Q., Holcroft J. W. Hemodynamic effect of increased abdominal pressure. J Surg Res. 1981 Mar;30(3):249–255. doi: 10.1016/0022-4804(81)90156-6. [DOI] [PubMed] [Google Scholar]
  6. RANNIGER K., SWITZ D. M. LOCAL OBSTRUCTION OF THE INFERIOR VENA CAVA BY MASSIVE ASCITES. Am J Roentgenol Radium Ther Nucl Med. 1965 Apr;93:935–939. [PubMed] [Google Scholar]
  7. Richards W. O., Scovill W., Shin B., Reed W. Acute renal failure associated with increased intra-abdominal pressure. Ann Surg. 1983 Feb;197(2):183–187. doi: 10.1097/00000658-198302000-00010. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Shenasky J. H., 2nd The renal hemodynamic and functional effects of external counterpressure. Surg Gynecol Obstet. 1972 Feb;134(2):253–258. [PubMed] [Google Scholar]

Articles from Annals of Surgery are provided here courtesy of Lippincott, Williams, and Wilkins

RESOURCES