Table 3.
Summary of studies about decompressive laparotomy timing in abdominal compartment syndrome
Disease | Author | Year | Number of patients | Study design | Timing | Morbidity | Mortality |
---|---|---|---|---|---|---|---|
Pancreatitis | Mentula [47] | 2010 | 26 | Retrospective | DL within 4 days vs. later | nr | 18% vs. 100% |
Davis [48] | 2013 | 45 | Retrospective |
16 pts DL after 3.1 h from ACS diagnosis 3.3 h in BMI > 30 vs. 2.8 h in BMI < 30 |
43% (ECF or EAF) |
Overall 24.1% 10% vs. 33.3% |
|
De Waele [49] | 2016 | 33 (27 pts with primary ACS) | Retrospective | DL within 3.1 h from ACS diagnosis | 24% |
At 28 days: 36% At 1 year: 55% |
|
Burn | Ramirez [50] | 2018 | 46 (27 pts with ACS during initial resuscitation) | Retrospective | DL within 13 h from ACS diagnosis vs. later (analysis of the 27 pts with ACS during initial resuscitation) | nr | 30% vs. 67% (p = 0.03) |
DL Decompressive laparotomy, ACS Abdominal compartment syndrome, pts Patients, ECF Entero-cutaneous fistula, EAF Entero-atmospheric fistula, BMI Body mass index, nr Not reported