Table 2.
Cases of fluid extravasation after hip arthroscopy – intra-abdominal hypertension/abdominal compartment syndrome treatment and outcomes
Author and Reference number |
Intra-abdominal hypertension/acute abdominal compartment syndrome clinical signs |
Intra-abdominal hypertension/acute abdominal compartment syndrome treatment procedures |
Treatment results |
|
---|---|---|---|---|
Abdomen | Others | |||
Bartlett et al.[3] |
Significant abdominal distension |
Cardiopulmonary arrest |
1. Nonoperative medical management |
Despite prolonged asystole, the patient survived without neurologic sequelae |
2. An emergent exploratory laparotomy closed primarily | ||||
Haupt et al.[4] |
Diffuse abdominal pain 4 hours after surgery |
1. Body temperature decreased from 36.3° to 34.5°C at the end of the operation |
Nonoperative medical management |
The irrigation solution was absorbed the next day |
2. Concurrent neurologic symptoms, resembling absence seizures occurred |
The neurologic symptoms disappeared without treatment |
|||
Sharma et al.[5] |
Significant abdominal distension |
1. Acute hypotensive with a systolic blood pressure of 60–70mmHg |
1. Nonoperative medical management |
Immediate improvement in the patient’s hemodynamic status |
2. Unresponsive |
2. Urgent mini-laparotomy and then diagnostic laparotomy |
|||
3. Apnoeic | ||||
4. Lower extremities appeared cyanotic no pulse could be palpated in either leg | ||||
Fowler and Owens
[6] |
Abdomen extremely distended |
1. Elevated bladder pressures (42mmHg) |
1. Nonoperative medical management |
Asymptomatic in his right hip and groin but is continuing follow-up by a general surgeon for abdominal complaints related to his incision and abdominal compartment syndrome |
2. An increased peak inspiratory pressure, thus preventing extubation |
2. An emergent exploratory laparotomy. The abdomen was left open, and a wound vacuum was placed. |
|||
Verma and Sekiya
[7] |
Distended and firm abdomen but easily compressible |
1. Hypothermia during the surgical procedure |
Nonoperative medical management |
The irrigation solution was absorbed |
2. Right labia was asymmetrically enlarged | ||||
Ladner et al.[8] |
Abdomen noticeably distended |
1. Core body temperature remained above 36.8°C. |
Paracentesis – no fluid was obtained. A computed tomography scan after paracentesis showed a copious amount of fluid in the intraperitoneal area and a small amount in the retroperitoneal area |
The irrigation solution was absorbed the next day |
2. At no time was her respiratory or cardiac function compromised based on clinical examination, blood pressure, heart rate, arterial blood gas values, and electrocardiographic data | ||||
Current case |
Abdomen extremely distended |
1. Acute hypotension with a systolic blood pressure of 60–70mmHg |
Paracentesis and percutaneous slow drainage |
Immediate improvement in the patient’s hemodynamic status |
Abdominal pain |
2. Unresponsiveness |
|||
3. Shortness of breath |