A Study Of Association Of Intra-Abdominal Pressure With Severity And Outcome In Patients Of Emergency Laparotomy

Authors

  • Amit Kurra Department of Surgery, Rabindra Nath Tagore Medical College, Udaipur, India
  • Mukta Sukhadia Department of Surgery, Rabindra Nath Tagore Medical College, Udaipur, India
  • Nimil Mary Thomas Department of Surgery, Rabindra Nath Tagore Medical College, Udaipur, India
  • Deepak Sethi Department of Surgery, Rabindra Nath Tagore Medical College, Udaipur, India
  • Navaratna Sharma Department of Surgery, Rabindra Nath Tagore Medical College, Udaipur, India

DOI:

https://doi.org/10.3126/jssn.v27i1.71274

Keywords:

Intra Abdominal Pressure, Gangrenous bowel, Postoperative complications

Abstract

Introduction: The present study is done to study the association of intra-abdominal pressure with intra-operative findings and postoperative surgical complications in patients of emergency laparotomies so that timely and appropriate interventions can be planned and administered.

Methods: The study was done on 84 patients. The intra-abdominal pressure was measured indirectly by measuring the pressure within the urinary bladder via Foley's catheter.

Results: There was positive association between the higher grades of IAP and intra-abdominal contamination and gangrenous bowel, the mean value of IAP being 20.4 mmHg. A statistically positive association was also observed between preoperative IAP and post-operative complications, the mean IAP ≥19mmHg.

Conclusion: There is a significant positive association of raised pre-operative intra-abdominal pressure with intra-operative finding of gangrenous and edematous bowel and postoperative surgical complications.

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Published

2024-11-08

How to Cite

Kurra, A., Sukhadia, M., Thomas, N. M., Sethi, D., & Sharma, N. (2024). A Study Of Association Of Intra-Abdominal Pressure With Severity And Outcome In Patients Of Emergency Laparotomy. Journal of Society of Surgeons of Nepal, 27(1), 12–16. https://doi.org/10.3126/jssn.v27i1.71274

Issue

Vol. 27 No. 1 (2024)

Section

Original Articles

License

Copyright (c) 2024 The Author(s)

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