Abstract
Laparoscopy results in an increase in intra-abdominal pressure (IAP). Increased IAP is seen, not only in a multitude of other clinical situations, but also as a result of bowel distention secondary to ileus or mechanical obstruction. It is seen in trauma, with intraperitoneal or retroperitoneal bleeding, in bowel distention from massive resuscitation efforts, in abdominal packing for control of persistent bleeding, and as a result of the application of military anti-shock trousers (MAST) N. Increased IAP is also seen in some chronic conditions such as liver failure with resultant ascites [2]. The effects of increased IAP on liver function and hepatic and portal blood flow will be discussed below.
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Martz, J., Shimizu, M. (1998). Influence of Increased Intra-abdominal Pressure on the Hepatoportal Circulation. In: Rosenthal, R.J., Friedman, R.L., Phillips, E.H. (eds) The Pathophysiology of Pneumoperitoneum. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-60290-0_5
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DOI: https://doi.org/10.1007/978-3-642-60290-0_5
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