Theses (Faculty of Medicine)

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https://hdl.handle.net/2437/193437

Böngészés

Theses (Faculty of Medicine) Tárgyszó szerinti böngészés "abdominal wall reconstruction"

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    Management of Abdominal Compartment Syndrome Caused by Acute Pancreatitis
    Kammili, Anitha; Szentkereszty, Zsolt; Debreceni Egyetem::Általános Orvostudományi Kar::Sebészeti Intézet; DE--Általános Orvostudományi Kar; Vitális, Zsuzsa; Deák, Ádám; Debreceni Egyetem::Általános Orvostudományi Kar::Belgyógyászati Intézet; Debreceni Egyetem::Általános Orvostudományi Kar::Sebészeti Intézet::Sebészeti Műtéttani Tanszék
    Abdominal compartment syndrome is a lethal complication of severe acute pancreatitis that is associated with high morbidity and mortality. When the intra-abdominal pressure is mildly elevated, conservative methods such as neuromuscular blockade, nasogastric decompression, sedation and a correction of positive cumulative fluid balance should be used first. This should be followed by semi-conservative methods, such as percutaneous catheter drainage, to obviate the need for surgery. If these modalities fail, surgical intervention via embryonal natural orifice transluminal endoscopic surgery or abdominal re-approximation anchor system with ABThera open abdomen negative pressure therapy system is highly recommended within four days of disease onset. Primary fascial closure should be attempted, but a planned ventral hernia approach using components separation technique should be used for type I defects and a tensor fascia lata flap should be used for type II defects when primary approximation of fascia is not possible or when previous repair has failed.