Abdominal Compartment Syndrome: Clinical and Physiopathologic Implications in Giant Ventral Hernias

  • Vittorio Corso
  • Elisa Bartolucci
  • Massimiliano Todaro
  • Luigi Veneroni
  • Gianfranco Francioni
Part of the Updates in Surgery book series (UPDATESSURG)


The surgical treatment of giant ventral hernia depends directly on knowledge of the abdominal pressure and on alterations in it.


Mean Arterial Pressure Abdominal Compartment Syndrome Open Abdomen Mannheim Peritonitis Index Cardiac Ejection Fraction 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Francioni G, Alfonzo G, Corso V et al (2006) Quando e come chiudere una laparostomia. Osp Ital Chir 12:455–459Google Scholar
  2. 2.
    Francioni G (2006) Un cam biamento epocale: il trattamento aperto sistematico delle sindromi peritoneali acute complesse. Osp Ital Chir 12:473–477Google Scholar
  3. 3.
    Hong JJ, Cohn SM, Perez JM et al (2002) Prospective study of the incidence and outcome of intra-abdominal hypertension and the abdominal compartment syndrome. Br J Surg 89(5):591–596PubMedCrossRefGoogle Scholar
  4. 4.
    Schein M, Wittmann DH, Aprahamian CC et al (1995) The abdominal compartment syndrome: the physiological and clinical consequences of elevated intra-abdominal pressure. J Am Coll Surg 180(6):745–753PubMedGoogle Scholar
  5. 5.
    Sugrue M, Buist MD, Lee A et al (1994) Intra-abdominal pressure measurement using a modified nasogastric tube: description and validation of a new technique. Intensive Care Med 20(8): 588–590PubMedCrossRefGoogle Scholar
  6. 6.
    Sugrue M, Bauman A, Jones F et al (2002) Clinical examination is an inaccurate predictor of intra-abdominal pressure. World J Surg 26(12):1428–1431PubMedCrossRefGoogle Scholar
  7. 7.
    Sanchez NC, Tenofsky PL, Dort JM et al (2001) What is normal intra-abdominal pressure? Am Surg 67(3)243–248PubMedGoogle Scholar
  8. 8.
    Malbrain ML, Chiumello D, Pelosi P et al (2004) Prevalence of intra-abdominal hypertension in critically ill patients: a multicentre epidemiological study. Intensive Care Med 30:822–829PubMedCrossRefGoogle Scholar
  9. 9.
    Malbrain ML (2004) Different techniques to measure intra-abdominal pressure (IAP): time for a critical reappraisal. Intensive Care Med 30(3):357–371PubMedCrossRefGoogle Scholar
  10. 10.
    Pelosi P, Ravagnan I, Giurati G et al (1999) Positive end-expiratory pressure improves respiratory function in obese patients but not in normal subjects during anesthesia and paralysis. Anesthesiology 91:1221–1231PubMedCrossRefGoogle Scholar
  11. 11.
    Malbrain ML (2001) Intra-abdominal pressure in the intensive care unit: clinical tool or toy? In: Vincent JL (ed) Yearbook of intensive care and emergency medicine. Springer, Berlin-Heidelberg-New York, pp 547–585Google Scholar
  12. 12.
    Ivatury RR, Porter JM, Simon RJ et al (1998) Intra-abdominal hypertension after life-threatening penetrating abdominal trauma: prophylaxis, incidence and clinical relevance to gastric mucosal pH and abdominal compartment syndrome. J Trauma 44(6):1016–1021PubMedCrossRefGoogle Scholar
  13. 13.
    Sugrue M, Jones F, Lee A et al (1996) Intra-abdominal pressure and gastric intramucosal pH: is there an association? World J Surg 20(8):998–991CrossRefGoogle Scholar
  14. 14.
    McNelis J, Marini CP, Jurkiewicz A et al (2002) Predictive factors associated with the development of abdominal compartment syndrome in the surgical intensive care unit. Arch Surg 68(1):133–136Google Scholar
  15. 15.
    Malbrain ML (1999) Abdominal pressure in the critically ill: measurement and clinical relevance. Intensive Care Med 25(12):1453–1458PubMedCrossRefGoogle Scholar
  16. 16.
    Papavassiliou V, Anderton M, Loftus IM et al (2003) The physiological effects of elevated intra-abdominal pressure following aneurysm repair. Eur J Vasc Endovasc Surg 26(3):293–298PubMedCrossRefGoogle Scholar
  17. 17.
    Ivatury RR, Cheathm ML, Malbrain ML, Sugrue M (2006) Abdominal compartment syndrome. Medical Intelligence Unit, Landes Bioscience, AustinGoogle Scholar
  18. 18.
    World Society for Abdominal Compartment Syndrome, available at:
  19. 19.
    Ivatury RR, Diesel L, Porter JM et al (1997) Intra-abdominal hypertension and abdominal compartment syndrome. Surg Clin North Am 77(4):783–800PubMedCrossRefGoogle Scholar
  20. 20.
    De Laet IE, Malbrain ML (2007) Current insights in intra-abdominal hypertension and abdominal compartment syndrome. Med Intensiva 31(2):88–99PubMedCrossRefGoogle Scholar
  21. 21.
    Kron IL, Harman PK, Nolan SP (1984) The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration. Ann Surg 199:28–30PubMedGoogle Scholar
  22. 22.
    Ridings PC, Bloomfield GL, Blocher CR (1995) Cardiopulmonary effects of raised intraabdominal pressure before and after intravascular volume expansion. J Trauma 39:1071–1075PubMedCrossRefGoogle Scholar
  23. 23.
    Barnes GE, Laine GA, Giam PY (1985) Cardiovascular responses to elevation of intraabdominal hydrostatic pressure. Am J Physiol 248:R208–R213PubMedGoogle Scholar
  24. 24.
    Bradley SE, Bradley GP (1947) The effect of increased abdominal pressure on renal function. J Clin Invest 26:1010–1015PubMedCrossRefGoogle Scholar
  25. 25.
    Harman PK, Kron IL, McLachlan HD (1982) Elevated intra-abdominal pressure and renal function. Ann Surg 195:594–597CrossRefGoogle Scholar
  26. 26.
    Wacha JM, Linder MM, Feldman U et al (1987) Mannheim peritonitis index—prediction of risk of death from peritonitis: construction of a statistical and validation of an empirically based index. Theoretical Surg 1:169–177Google Scholar
  27. 27.
    Criterio G, Vascotto E, Villa F et al (2001) Induced abdominal compartment syndrome increases intracranial pressure in neurotrauma patients: a prospective study. Crit Care Med 29:1466–1471CrossRefGoogle Scholar
  28. 28.
    Bloomfield GL, Rindings PC, Blocher CR (1995) Increased pleural pressure mediates the effects of elevated intra-abdominal pressure upon the central nervous and cardiovascular systems. Surg Forum 46:572–579Google Scholar
  29. 29.
    Bloomfield GL, Rindings PC, Blocher CR (1997) A proposed relationship between increased intra-abdominal, intra-thoracic and intracranial pressure. Crit Care Med 25:496–503PubMedCrossRefGoogle Scholar
  30. 30.
    D’Andrea KJ, Richard DP, Bizhan A, Scalea T (2004) Decompressive laparotomy to treat intractable intracranial hypertension after traumatic brain injury. J Trauma 57:687–695CrossRefGoogle Scholar
  31. 31.
    Diesel LN, Wilson RF, Brown WJ (1997) Splanchnic ischemia and bacterial translocation in the abdominal compartment syndrome. J Trauma 43:852–855CrossRefGoogle Scholar
  32. 32.
    Sakka SG, Reinhart K, Meier-Hellmann A (2000) Comparison of invasive and noninvasive measurements of indocyanine green plasma disappearance rate in critically ill patients with mechanical ventilation and stable hemodynamics. Intensive Care Med 10:1553–1556CrossRefGoogle Scholar
  33. 33.
    Sakka SG, Reinhart K, Meier-Hellmann A (2002) Prognostic value of the indocyanine green plasma disapperance rate in critically ill patients. Chest 122:1715–1720PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Italia 2008

Authors and Affiliations

  • Vittorio Corso
  • Elisa Bartolucci
  • Massimiliano Todaro
  • Luigi Veneroni
  • Gianfranco Francioni

There are no affiliations available

Personalised recommendations