The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration
- PMID: 6691728
- PMCID: PMC1353253
- DOI: 10.1097/00000658-198401000-00005
The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration
Abstract
Acute elevation of intra-abdominal pressure above 30 mmHg caused oliguria in 11 postoperative patients. Operative re-exploration and decompression in seven patients resulted in immediate diuresis. Four patients who were not re-explored developed renal failure and died. If intra-abdominal pressure rises above 25 mmHg in the early postoperative period and is associated with oliguria and normal blood pressure and cardiac index, the patient should undergo re-exploration and decompression of the abdomen.
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