Primary Intra-Abdominal Hypertension and Abdominal Compartment Syndrome: Pathophysiology and Treatment
DOI:
https://doi.org/10.17140/EMOJ-1-110Keywords:
Intra-abdominal hypertension, Abdominal compartment syndrome, Damage control laparotomy, Laparostomy, Open abdomenAbstract
Abdominal Compartment Syndrome (ACS) is a potentially lethal condition caused by various events that produce intra-abdominal hypertension. The most common cause is blunt abdominal trauma. Increasing intra-abdominal pressure causes progressive hypoperfusion and ischemia of the intestines and other peritoneal and retroperitoneal structures. Pathophysiological effects include release of cytokines, production of oxygen free radicals, and decreased cellular formation of adenosine triphosphate. These processes may lead to translocation of bacteria from the gut and intestinal edema, predisposing patients to multiorgan dysfunction syndrome.
The consequences of abdominal compartment syndrome are profound and affect many vital body systems. Respiratory, hemodynamic, cardiovascular, renal, and neurological abnormalities are signs of abdominal compartment syndrome. Medical management of critically ill patients with raised intra-abdominal pressure should be instigated early to prevent further organ dysfunction and to avoid progression to ACS. Many treatment options are available and are often part of routine daily management in the ICU (nasogastric, rectal tube, prokinetics, enema, sedation, body position). Some of the newer treatments are very promising options in specific patient populations with raised IAP. Nursing care involves vigilant monitoring for early detection, including serial measurements of intra-abdominal pressure.
References
Malbrain MLNG. Abdominal compartment syndrome: it is time. Acta Clin Belg. 2007; 62: 1-5.
von Volkmann R. The ischemic muscle paralysis and contrac-tures. Zbl. Chir. 1881; 8: 801-803.
Marey EJ. Medical physiology of blood circulation, based on the graphic study of the movements of the heart and arterial pulse with application to diseases of the circulatory apparatus. Paris: A Delahaye. 1863.
Emerson H. Intra-abdominal pressures. Arch Intern Med. 1911; 7: 754-784.
Coombs HC. The mechanisms of the regulation of intra-ab-dominal pressure. Am J Physiol. 1920; 61: 159-163.
Fietsam R Jr, Villaba M, Glover JL, et al. Intra-abdominal compartment syndrome as a complication of ruptured abdominal aortic aneurysm repair. Am Surg. 1989; 55: 396-402.
Schein M. Abdominal compartment syndrome. Historical background. Abdominal compartment syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M, eds. Landes Bioscience, Georgetown TX. 2006; 1-7.
van Hee R. Historical highlights in concept and treatment of abdominal compartment syndrome. Acta Clin Belg. 2007; 62: 9-15.
Sugrue M, Buist MD, Hourihan F, et al. Prospective study of intra-abdominal hypertension and renal function after laparo-tomy. Br J Surg. 1995; 82: 235-238.
Saggi BH, Sugerman HJ, Ivatury RR, et al. Abdominal com-partment syndrome. J Trauma. 1998; 45: 597-609.
Zbar AP. Compliance an capacity of the normal human rectum-physical considerations and measurement pitfalls. Acta Chir Iugosl. 2007; 54: 49-57.
Van Stappen J, Pigozzi C, Tepaske R, et al. Validation of a novel method for measuring intra-abdominal pressure and gas-tric residual volume in critically ill patients. Anaesthesiology In-tensive Therapy. 2014; 46(4): 245-254.
Ivatury RR, Diebel L, Porter JM, et al. Intra-abdominal hy-pertension and the abdominal compartment syndrome. Surg Clin N Am. 1997; 77: 783-800.
Vincent JL, McKinley BA, Cocanour CS, et al. The SOFA (Sepsis-related Organ Failure Assessment) score to describe or-gan dysfunction/failure. Intensive Care Med. 1996; 22: 707-710. doi: 10.1007/BF01709751
Meldrum DR, Moore FA, Moore EE, et al. prospective characterization and selective management of the abdominal compartment syndrome. Am J Surg. 1997; 174: 667-672. doi: 10.1016/S0002-9610(97)00201-8
Lambert DM, Marceau S, Forse RA. Intra-abdominal pres-sure in the morbidly obese. Obes Surg. 2005; 15: 1225-1232. doi: 10.1381/096089205774512546
Hamad GG, Peitzman AB. Morbid obesity and chronic intra-abdominal hypertension. Abdominal compartment syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M, eds. Landes Bioscience, Georgetown TX. 2006; 189-196.
Balogh Z, McKinley BA, Cocanour CS, et al. Secondary ab-dominal compartment syndrome is an elusive early complication of traumatic shock resuscitation. Am J Surg. 2002; 184: 538-543. doi: 10.1016/S0002-9610(02)01050-4
Britt RC, Gannon T, Collins JN, Cole FJ, Weireter LJ, Britt LD. Secondary abdominal compartment syndrome: risk factors and outcomes. Am Surg. 2005; 71: 982-985.
Cotton BA, Guy JS, Morris JA Jr, Abumrad NN. The cel-lular, metabolic and systemic consequences of aggressive fluid resuscitation strategies. Shock. 2006; 26: 115-121.
Balogh Z, Moore FA, Moore EE, Biffl WL. Secondary abdominal compartment syndrome: a potential threat for all trauma clinicians. Injury. 2007; 38: 272-279. doi: 10.1016/j. injury.2006.02.026
Gracias VH, Braslow B, Johnson J, et al. Abdominal com-partment syndrome in the open abdomen. Arch Surg. 2002; 137: 1298-1300.
Raeburn CD, Moore EE, Biffl WL, et al. The abdominal compartment syndrome is a morbid complication of postinjury damage control surgery. Am J Surg. 2001; 182: 542-546. doi: 10.1016/S0002-9610(01)00821-2
Malbrain ML, Chiumello D, Pelosi P, et al. Incidence and prognosis of intraabdominal hypertension in a mixed population of critically ill patients: a multiple-center epidemiological study. Crit Care Med. 2005; 33: 315-322.
Ivy ME, Atweh NA, Palmer J, et al. Intra-abdominal hyper-tension and abdominal compartment syndrome in burns patients. J Trauma. 2000; 49: 387-391.
Loftus IM, Thompson MM. The abdominal compartment syndrome following aortic surgery. Eur J vasc Endovasc Surg. 2003; 25: 97-109. doi: 10.1053/ejvs.2002.1828
Ivatury RR, Porter JM, Simon RJ, et al. Intra-abdominal hy-pertension after life-threatening penetrating abdominal trauma. Prophylaxis, incidence and clinical relevance to gastric mucosal pH and abdominal compartment syndrome. J Trauma. 1998; 44: 1016-1023.
Plantefeve G, Hellmann R, Pajot O, Thirion M, Bleichner G, Mentec H. Abdominal compartment syndrome and intraab-dominal sepsis: two of the same kind? Acta Clin Belg. 2007; 62: 162-167.
Kirkpatrick AW, Brenneman FD, McLean RF, et al. Is clini-cal examination an accurate indicator of raised intra-abdominal pressure in critically injured patients? Can J Surg. 2000; 43: 207-211.
Sugrue M, Bauman A, Jones F, et al. Clinical examination is an inaccurate predictor of intraabdominal pressure. World J Surg. 2002; 26: 1428-1431. doi: 10.1007/s00268-002-6411-8
Van Mieghem N, Vebrugghe W, Daelemans R, et al. Can abdominal perimeter be used as an accurate estimation of in-tra-abdominal pressure? Crit Care. 2003; 7(Supp 2): 183. doi: 10.1186/cc2072
Ho HS, Saunders CJ, Gunther RA, Wolfe BM. Effector of hemodynamics during laparoscopy: CO2 absorption or intra-abdominal pressure? J Surg Res. 1995; 59: 497-503.
Enoch C, Aslam N, Piraino B. Intra-abdominal pressure, peritoneal dialysis exchange volume, and tolerance in APD. Semin Dial. 2002; 15: 403-406. doi: 10.1046/j.1525-139- X.2002.00100.x
Risin E, Kessel B, Ashkenazi I, Lieberman N, Alfici R. A new technique of direct intra-abdominal pressure measure-ment: a preliminary study. Am J Surg. 2006; 191: 235-237. doi: 10.1016/j.amjsurg.2005.07.038
Kron IL, Harman PK, Nolan SP. The measurement of intra-abdominal pressure as a criterion for abdominal re-exploration. Ann Surg. 1984; 199: 28-30.
de Laet IE, Malbrain MMLG. Intra-abdominal hypertension and abdominal compartment syndrome: what do we know to-day? Care Crit. 2007; 3(23): 4-14.
Sagraves SG, Cheatham ML, Johnson JL, et al. Intravesicu-lar pressure monitoring does not increase the risk of urinary tract or systemic infection. Crit Care Med. 2007; 27: A48.
Johna S, Taylor E, Brown C, Zimmerman G. Abdominal compartment syndrome: does intra-cystic pressure reflect actual intra-abdominal pressure? A prospective study in surgical pa-tients. Journal. 1999; 3: 135-138. doi: 10.1186/cc366
Cheatham ML, Safcsak K. Intraabdominal pressure. A re-vised method for measurement. J Am Coll Surg. 1998; 186: 594- 595. doi: 10.1016/S1072-7515(98)00122-7
Wolfe Tory Medical, Inc. Available at: www.wolfetory.com, 1994; Accessed 2015.
Harrahill M. Intra-abdominal pressure monitoring. J Emerg Nurs. 1998; 24: 465-466.
Malbrain MLNG, Leonard M, Delmarcelle D. A novel tech-nique of intra-abdominal pressure measurement: validation of two prototypes. Crit Care. 2002; 6: S2-S3.
De Potter TJ, Dits H, Malbrain ML. Intra- and interobserver variability during in vitro validation of two novel methods for intra-abdominal pressure monitoring. Intensive Care Med. 2005; 31: 747-751. doi: 10.1007/s00134-005-2597-1
Balogh Z, Jones F, D’Amours S, Parr M, Sugrue M. Con-tinuous intra-abdominal pressure measurement technique. Am J Surg. 2004; 188: 679-684. doi: 10.1016/j.amjsurg.2004.08.052
Colle GG, Lomax DM, Ferguson C, et al. Bedside measure-ment of intra-abdominal pressure (IAP) via an indwelling naso-gastric tube: clinical validation of the technique. Intensive Care Med. 1993; 19: 478-480.
Debaveye Y, Bertiaux S, Malbrain MLNG. Simultaneous measurement of intra-abdominal pressure and regional CO2 via a gastric tonometer. Intensive Care Med. 2000; 26(Suppl 3): S324.
Ravishankar N, Hunter J. Measurement of intra-abdominal pressure in intensive care units in the United Kingdom: a nation-al postal questionnaire study. Br J Anaesth. 2005; 94: 763-766.
Kirkpatrick AW, Laupland KB, Karmali S, et al. Spill your guts! Perceptions of Trauma Association of Canada member sur-geons regarding the open abdomen and the abdominal compart-ment syndrome. J Trauma. 2006; 60: 279-286.
Kimball EJ, Rollins MD, Mone MC, et al. Survey of inten-sive care physicians on the recognition and management of intra-abdominal hypertension and abdominal compartment syndrome. Crit Care Med. 2006; 34: 2340-2348.
Malbrain ML. Different techniques to measure intra-abdomi-nal pressure (IAP): time for a critical re-appraisal. Intensive Care Med. 2004; 30: 357-371. doi: 10.1007/s00134-003-2107-2
Diaz FJ, Fernandez Sein A, Gotay F. Identification and man-agement of abdominal compartment syndrome in the pediatric intensive care unit. P R Health Sci J. 2006; 25: 17-22.
Shafik A, El Sharkawy A, Sharaf WM. Direct measurement of intra-abdominal pressure in various conditions. Eur J Surg. 1997; 163: 883-837.
Dowdle M. Evaluating a new intrauterine pressure catheter. J Reproduct Med. 1997; 42: 506-513.
Lacey SR, Bruce J, Brooks SP, et al. The relative merits of various methods of indirect measurement of intraabdominal pressure as a guide to closure of abdominal wall defects. J Pe-diatr Surg. 1987; 22: 1207-1211.
Joynt GM, Gomersall CD, Buckley TA, et al. Comparison of intrathoracic and intra-abdominal measurements of central ve-nous pressure. Lancet. 1996; 347(9009): 1155-1157.
Schachtrupp A, Henzler D, Orfao S, et al. Evaluation of a modified piezoelectric technique and a water-capsule technique and continuous measurement of intra-abdominal pressure in a porcine model. Crit Care Med. 2006; 34: 745-750.
Cheatham ML, White MW, Sagraves SG, et al. Abdominal perfusion pressure a superior parameter in the assessment of intra-abdominal hypertension. J Trauma. 2000; 49: 621-627.
Cheatham ML, Malbrain MLNG. Abdominal perfusion pressure. Abdominal Compartment Syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M, eds. Landes Bio-science Georgetown TX. 2006; 69-81.
Malbrain MLNG. Abdominal perfusion pressure as a prog-nostic marker in intra-abdominal hypertension. Yearbook of Intensive Care and Emergency Medicine. In: Vincent JL, eds. Springer, NY, 2002; 792-814.
Sugrue M. Intra-abdominal pressure: time for clinical prac-tice guidelines? Intensive Care Med. 2002; 28: 389-391. doi: 10.1007/s00134-002-1253-2
Bardoczky GI, Engelman E, Levarlet M, et al. Ventila-tory effects of pneumoperitoneum monitored with continuous spirometry. Anesthesia. 1993; 48: 309-311. doi: 10.1111/j.1365- 2044.1993.tb06949.x
Fahy BG, Barnas GM, Flowers JL, et al. The effects of in-creased abdominal pressure on lung and chest wall mechanics during laparoscopic surgery. Anesth Analg. 1995; 81: 744-750.
Fahy BG, Barnas GM, Nagle SE, et al. Changes in lung and chest wall properties with abdominal insufflation of carbon di-oxide are immediately reversible. Anesth Analg. 1996; 82: 501- 505.
Erice F, Fox GS, Salib YM, et al. Diaphragmatic function before and after laparoscopic cholecystectomy. Anesthesiology. 1993; 79: 966-975.
Pelosi P, Goldner M, McKibben A, et al. Recruitment and derecruitment during acute respiratory failure: an experimen-tal study. Am J Respir Crit Care Med. 2001; 164: 122-130. doi: 10.1164/ajrccm.164.1.2007010
Puri GD, Singh H. Ventilatory effects of laparoscopy un-der general anaesthesia. Br J Anaesth. 1992; 68: 211-213. doi: 10.1093/bja/68.2.211
Pelosi P, Aliverti A, Dellaca A. Chest wall mechanics in nor-mal subjects and in critically ill patients. 2000.
Gauthier AP, Verbanck S, Estenne M, Segebarth C, Mack-lem PT, Paiva M. Three-dimensional reconstruction of the in vivo human diaphragm shape at different lung volumes. J Appl Physiol. 1994; 76: 496-506.
Aliverti A, Carlesso E, Dellaca R, et al. Chest wall mechan-ics during pressure support ventilation. Crit Care. 2006; 10: R54-R61.
Mutoh T, Lamm WJ, Embree LJ, et al. Volume infusion pro-duces abdominal distension, lung compression and chest wall stiffness in pigs. J Appl Physiol. 1992; 72: 575-582.
Pelosi P, Cereda M, Foti G et al. Alterations of lung and chest wall mechanics in patients with acute lung injury: effects of positive end-expiratory pressure. Am J Respir Crit Care Med. 1995; 152: 531-537. doi: 10.1164/ajrccm.152.2.7633703
Pelosi P, Qunitel M, Malbrain MLNG. Effect of intra-ab-dominal pressure on respiratory mechanics. Acta Clin Belg. 2007; 62: 78-88.
Rouby JJ, Puybasset L, Nieszkowska A, et al. Acute respira-tory distress syndrome: lessons from computed tomography of the whole lung. Crit Care Med. 2003; 31: S285-S295.
Pelosi P, Luecke T, Caironi P, Chiumello D. A physiologi-cally based approach to peri-operative management of obese patients. In: Albert RK, Slutsky A, Ranieri M, Takala J, Torres A, eds. Clinical Critical Care Medicine. Mosby Inc. 2006; 263- 273.
Loeckinger A, Kleinsasser A, Hoermann C, et al. Inert gas exchange during pneumo-peritoneum at incremental values of positive end-expiratory pressure. Anesth Analg. 2002; 90: 466- 471.
Hazebroek EJ, Haitsma JJ, Lachmann B, et al. Mechanical ventilation with positive end-expiratory pressure preserves ar-terial oxygenation during prolonged pneumo-peritoneum. Surg Endosc. 2002; 16: 685-689. doi: 10.1007/s00464-001-8174-y
Toens Ch, Schachtrupp A, Hoer J, Schumpelick VR. Porcine model of abdominal compartment syndrome. Shock. 2002; 18: 316-321.
Verbrugge SJLachman B. Mechanisms of ventilation-in-duced lung injury: physiological rationale to prevent it. Monaldi Arch Chest Dis. 1999; 54: 22-37.
Ranieri VM, Suter PM, Tortorella C, et al. Effect of mechani-cal ventilation on inflammatory mediators in patients with acute respiratory distress syndrome: a randomized controlled trial. JAMA. 1999; 282: 54-61. doi: 10.1001/jama.282.1.54
Santos CL, Moraes L, Santos RS et al. The biological effects of higher and lower positive end-expiratory pressure in pulmo-nary and extrapulmonary acute lung injury with intra-abdomi-nal hypertension. Critical Care. 2014; 18: R121. doi: 10.1186/ cc13920
Wrigge H, Zinserling J, Stuber F, et al. Effects of mechanical ventilation on release of cytokines into systemic circulation in patients with normal pulmonary function. Anesthesiology. 2000; 93: 1413-1437.
De Waele JJ, Benoit D, Hoste E, Colardyn F. A role for muscle relaxation in patients with abdominal compartment syn-drome? Intensive Care Med. 2003; 29: 332.
Esteban A, Frutos F, Tobin MJ, et al. A comparison of four methods of weaning patients from mechanical ventilation. Span-ish Lung Failure Collaborative Group. N Engl J Med. 1995; 332: 345-350. doi: 10.1056/NEJM199502093320601
Amato MB, Barbas CS, Medeiros DM, et al. Effect of a pro-tective ventilation strategy on mortality in the acute respiratory distress syndrome. N Engl J Med. 1998; 338: 347-354.
Grasso S, Mascia L, Del Turco M, et al. Effects of recruiting maneuvers in patients with acute respiratory distress syndrome ventilated with protective ventilatory strategy. Anesthesiology. 2002; 96: 795-802.
Kashtan J, Green JF, Parsons EQ, Holcroft JW. Hemody-namic effects of increased abdominal pressure. J Surg Res. 1981; 30: 249-255.
Cheatham ML, Nelson LD, Chang MC, et al. Right ventricu-lar end-diastolic volume index as a predictor of preload status in patients on positive end-expiratory pressure. Crit Care Med. 1998; 28: 1801-1806.
Cheatham ML, Malbrain MLNG. Cardiovascular implica-tions of abdominal compartment syndrome. Acta Clin Belg. 2007; 62(Supp l): 98-112.
Andersson L, Wallin CJ, Sollevi A, Odeberg-Wernerman S. Pneumoperitoneum in healthy humans does not affect central blood volume or cardiac output. Acta Anaesthesiol Scand. 1999; 43: 809-814. doi: 10.1034/j.1399-6576.1999.430805.x
Brooks H, Kirk ES, Vokonas PS, et al. Performance of the right ventricle under stress: relation to right coronary flow. J Clin Invest. 1971; 50: 2176-2183.
Calvin JE, Driedger AA, Sibbald WJ. Does the pulmonary capillary wedge pressure predict left ventricular preload in criti-cally ill patients? Crit Care Med. 1981; 9: 437-443.
Eddy AC, Rice CL, Anardi DM. Right ventricular dysfunc-tion in multiple trauma victims. Am J Surg. 1998; 155: 712-715.
Ridings PC, Bloomfield GL, Blocher CR, et al. Cardiopul-monary effects of raised intra-abdominal pressure before and af-ter intravascular volume expansion. J Trauma. 1995; 39: 1071- 1075.
Safcsak K, Fusco MA, Miles WS, et al. Does transmural pulmonary artery occlusion pressure (PAOP) via oesophageal balloon improve prediction of ventricular preload in patients receiving positive end-expiratory pressure (PEEP)? Crit Care Med. 1995; 23: A244.
Diebel LN, Wilson RF, Tagett MG, et al. End-diastolic vol-ume: a better indicator of preload in the critically ill. Arch Surg. 1992; 127: 817-822.
Osman D, Ridel C, Ray P, et al. Cardiac filling pressures are not appropriate to predict hemodynamic response to volume challenge. Crit Care Med. 2007; 35: 64-68.
Chaney JC, Derdak S. Minimally invasive hemodynamic monitoring for the intensivist: current and emerging technology. Crit Care Med. 2002; 30: 2338-2345.
Vieillard-Baron A, Chergui K, Rabiller A, et al. Superior vena caval collapsibility as a guage of volume status in venti-lated septic patients. Intensive Care Med. 2004; 30: 1734-1739. doi: 10.1007/s00134-004-2361-y
Feissel M, Michard F, Faler JP, Terboul JL. The respiratory variation in inferior vena cava diameter as a guide to fluid ther-apy. Intensive Care Med. 2004; 30: 1834-1837. doi: 10.1007/ s00134-004-2233-5
Feissel M, Mkichard F, Mangin I, Ruyer O, Faller JP, Ter-boul JL. Respiratory changes in aortic blood velocity as an in-dicator of fluid responsiveness in ventilated patients with septic shock. Chest. 2001; 119: 867-873. doi: 10.1378/chest.119.3.867
Jardin F, Dubourg O, Bourdarias JP. Echocardiographic pattern of acute cor pulmonale. Chest. 1997; 111: 209-217. doi: 10.1378/chest.111.1.209
Reichek N, Wilson J, St John Sutton M, Plappert TA, Gold-berg S, Hirschfeld JW. Noninvasive determination of left ven-tricular end-systolic stress: validation of the method and initial application. Circulation. 1982; 65: 99-108. doi: 10.1161/01. CIR.65.1.99
Vieillard-Baron A, Augarde R, Prin S, Page B, Beauchet A, Jardin F. Hemodynamic instability in sepsis: bedside assessment by Doppler echocardiography. Am J Resp Crit Care Med. 2003; 168: 1270-1276. doi: 10.1164/rccm.200306-816CC
Sugrue M, Jones F, Deane SA, Bishop G, Bauman A, Hill-man K. Intra-abdominal hypertension is an independent cause of postoperative renal impairment. Arch Surg. 1999; 134: 1082- 1085. doi: 10.1001/archsurg.134.10.1082
Stone HH, Fulenwider JT. Renal decapsulation in the pre-vention of post ischaemic oliguria. Ann Surg. 1977; 186: 343- 355.
Vargas JC, Fields D, Razvi I. Direct parenchymal compres-sion to 15 mmHg produces oliguria. J Urol. 1995; 153: 514.
Doty JM, Saggi BH, Blocher CR, et al. Effects of increased renal parenchymal pressure on renal function. J Trauma. 2000; 48: 874-878.
Le Roith D, Bark H, Nyska M, Glick SM. The effect of abdominal pressure on plasma antidiuretic hormone levels in the dog. J Surg Res. 1982; 32: 65-69. doi: 10.1016/0022-4804- (82)90186-X
Vinamki O, Punnonen R. Vasopressin release during lap-aroscopy: role of increased intra-abdominal pressure. Lancet. 1982; 175-176.
Bloomfield GL, Blocher CR, Fakhry IF, Sica DA, Sugerman HJ. Elevated intra-abdominal pressure increases plasma rennin activity and aldosterone levels. J Trauma. 1997; 42: 997-1004.
Balogh Z, McKinley BA, Cocanour CS, Kozar RA, Cox CS, Moore FA. Patients with impending abdominal compart-ment syndrome do not respond to early volume loading. Am J Surg. 2003; 186: 602-608. doi: 10.1016/j.amjsurg.2003.09.002
Lindstrom P, Wadstrom J, Ollerstam A, Johnsson C, Persson AE. Effects of increased intra-abdominal pressure and volume expansion on renal function in the rat. Nephrol Dial Transplant. 2003; 18: 2269-2277.
Schachtrupp A, Lawong C, Afify M, Graf J, Toens S, Schumpelick V. Fluid resuscitation preserves cardiac output but cannot prevent organ damage in a porcine model during 24 h of intraabdominal hypertension. Shock. 2005; 24: 153-158.
Ulyatt DB. Elevated intra-abdominal pressure. Australian Anaes. 1992; 108-114.
Doty JM, Saggi BH, Sugerman HJ, et al. Effect of increased renal venous pressure on renal function. J Trauma. 1999; 47: 1000-1003.
Sugrue M, Jones F, Janjua KJ, Deane SA, Bristow P, Hill-man K. Temporary abdominal closure: a prospective evaluation of its effects on renal and respiratory physiology. J Trauma. 1998; 45: 914-921.
Sugrue M, Balogh Z, Malbrain M. Intra-abdominal hyper-tension and renal failure. Aust N Z J Surg. 2004; 74: 78.
Balogh Z, McKinley BA, Holcomb JB, et al. Both primary and secondary abdominal compartment syndrome can be pre-dicted early and are harbingers of multiple organ failure. J Trau-ma. 2003; 54: 848-861.
Vachharajani V, Scott LK, Grier L, Conrad S. Medical man-agement of severe intra-abdominal hypertension with aggressive diuresis and continuous ultra-filtration. Internet J Emerg Inten-sive Care Med. 2003; 6.
Vinsonneau C, Camus C, Combes A, et al. Continuous ven-ovenous haemodia filtration versus intermittent haemodialysis for acute renal failure in patients with multiple-organ dysfunc-tion syndrome: a multicentre randomized trial. Lancet. 2006; 368: 379-385. doi: 10.1016/S0140-6736(06)69111-3
Diebel LN, Dulchavsky SA, Wilson RF. Effect of increased intra-abdominal pressure on mesenteric arterial and intestinal mucosal flow. J Traume. 1992; 33: 45-49.
Bongard FB, Ryan M, Dubecz. Adverse consequences of increased intraabdominal pressure on bowel tissue oxgen. J Trauma. 1995; 39: 519-525.
Diebel LN, Wilson RF, Dulchavsky SA. Effect of increased intra-abdominal pressure on hepatic arterial, portal venous and hepatic microcirculatory blood flow. J Trauma. 1992; 33: 279- 283.
Eleftheriadis S, Kotzampassi K, Botsios D, et al. Splanch-nic ischemia during laparoscopic cholecystectomy. Surg Endosc. 1996; 10: 324-326.
Agusti M, Elizalde JI, Adalia R, et al. Dobutamine restores intestinal mucosal blood flow in a porcine model of intra-ab-dominal hypertension. Crit Care Med. 2000; 28: 467-472
Simon RJ, Friedlander MH, Ivatury RR, et al. Hemorrhage lowers the threshold for intra-abdominal hypertension (IAH) in-duced pulmonary dysfunction. J Trauma. 1997; 42: 398-405.
Friedlander M, Simon RJ, Ivatury RR, et al. The effect of hemorrhage on SMA flow during increased intraabdominal pres-sure. J Trauma. 1998; 45: 433-439.
Eleftheriadis E, Kotzampassi K, Papanatos K, et al. Gut ischemia, oxidative stress and bacterial translocation in elevated abdominal pressure in rats. World J Surg. 1996; 20: 11-16. doi: 10.1007/s002689900002
Diebel LN, Dulchavsky SA, Brown HJ. Splanchnic isch-emia and bacterial translocation in abdominal compartment syn-drome. J Trauma. 1997; 43: 852-855.
Doty J, Oda J, Ivatury RR, et al. The effect of haemorrhage followed by intraabdominal hypertensions on bacterial translo-cation. J Trauma. 2002; 52: 13-17.
Balogh Z, McKinley BA, Cox CS Jr, et al. Abdominal com-partment syndrome: the cause or effect of post injury multiple organ failure. Shock. 2003; 20: 483-492.
Rezende-Neto JB, Moore EE, Masuno T, et al. The abdomi-nal compartment syndrome as a second insult during systemic neutrophil priming provokes multiple organ injury. Shock. 2003; 20: 303-308.
Oda J, Ivatury RR, Blocher CL, et al. Amplified cytokine response and lung injury by sequential haemorrhagic shock and abdominal compartment syndrome in a laboratory model of ischemia-reperfusion. J Trauma. 2002; 52: 625-631.
Rezende-Neto JB, Moore EE, Melo de Andrade MV, et al. Systemic inflammatory response secondary to abdominal com-partment syndrome. Stage for multiple organ failure. J Trauma. 2002; 53: 1121-1128.
Düzgün AP, Gülgez B, Özmutlu A, et al. The relationship between intestinal hypoperfusion and serum D-lactate levels during experimental intra-abdominal hypertension. Dig Dis Sci. 2006.
Sukhotnik I, Bejar J, Srugo I, et al. Adverse effects of in-creased intra-abdominal pressure on small bowel structure and bacterial translocation in the rat. J Laparoendosc Adv Surg Tech A. 2006; 16: 404-410. doi: 10.1089/lap.2006.16.404
Meierhenrich R, Gauss A, Vandenesch PP, Georgieff M, Poch B, Schutz W. The effects of intra-abdominally insufflated carbon dioxide on hepatic blood flow during laparoscopic sur-gery assessed by transesophageal echocardiography. Anesth An-alg. 2005; 100: 340-347.
Nakatami T, Sakamoto Y, Kaneko Y, et al. Effects of intra-abdominal hypertension on hepatic energy metabolism in a rab-bit model. J Trauma. 1998; 44: 446-453.
Ye A, Schein M, Margolis M, et al. Liver enzymes are com-monly elevated following laparoscopic cholecystectomy. Is el-evated intra-abdominal pressure the cause? Dig Surg. 1998; 15: 256-259.
Saber AA, Laraja RD, Nalbandian HI, Pablos-Mendez A, Hanna K. Changes in liver function tests after laparoscopic cholecystectomy. Am Surg. 2000; 66: 699-702.
Wachsberg RH. Narrowing of the upper abdominal inferior vena cava in patients with elevated intra-abdominal pressure: sonographic observations. J Ultrasound Med. 2000; 19: 217-222.
Dalfino L, Malcangi V, Cinnella G, Brienza N. Abdominal hypertension and liver dysfunction in Intensive Care Unit pa-tients: an “on-off” phenomenon? Transpl Proc. 2006; 38: 838- 840. doi: 10.1016/j.transproceed.2006.03.002
Muftuoglu MA, Aktekin A, Ozdemir NC, Saglam A. Liver injury and abdominal compartment syndrome in rats. Surg To-day. 2006; 36: 519-524.
Biancofiore G, Bindi ML, Romanelli AM, et al. Intra-abdominal pressure monitoring in liver transplant recipients: a prospective study. Intensive Care Med. 2003; 1: 30-36. doi: 10.1007/s00134-002-1552-7
Coriat P, Vrillon M, Perel A, et al. A comparison of systolic blood pressure variations and echocardiographic estimates of end-diastolic left ventricular size in patients after aortic surgery. Anesth Analg. 1994; 78: 46-53.
Cheatham ML, Safcsak K, Block EF, et al. Preload assess-ment in patients with an open abdomen. J Trauma. 1999; 46: 16-22.
Sutcliffe R, Meares H, Auzinger G, et al. Preload assessment in severe liver disease associated with intraabdominal hyperten-sion. Intensive Care Med. 2002; 28(Suppl 1): S177 A 688.
Auzinger GM, Tilley R, Sizer L, et al. Markers of preload in patients with severe liver disease and intra-abdominal hyperten-sion. Intensive Care Med. 2002; 28(Suppl 1): S7 A12.
Huseby JS, Luce JM, Cary JM, et al. Effects of positive end-expiratory pressure on intracranial pressure in dogs with in-tracranial hypertension. J Neurosurg. 1981; 55: 704-705.
Ratjen F, TRost A, Welker J, Spangenberg P, Weisemann HG. The effect of rapid thoracoabdominal compressions on in-tracranial pressure in newborn lambs. Pediatr Res. 1995; 38: 664-667. doi: 10.1203/00006450-199511000-00006
Rosenthal RJ, Friedman RL, Kahn AM, et al. Reasons for intracranial hypertension and hemodynamic instability during acute elevations of intra-abdominal pressure: observations in a large animal model. J Gastrointest Surg. 1998; 2: 415-425.
Josephs LG, Este-McDonald JR, Birkett DH, et al. Diag-nostic laparoscopy increases intracranial pressure. J Trauma. 1994; 36: 815-818.
Bloomfield GL, Ridings PC, Blocher CR, et al. A proposed relationship between increased intra-abdominal, intrathoracic and intracranial pressure. Crit Care Med. 1997; 25: 496-503.
Citerio G, Vascotto E, Villa F, Celotti S, Presenti A. In-duced abdominal compartment syndrome increases intracranial pressure in neurotrauma patients: a prospective study. Crit Care Med. 2001; 29: 1466-1471.
Bloomfield GL, Ridings PR, Blocher CR, et al. Effects of increased intra-abdominal pressure upon intracranial and cere-bral perfusion pressure before and after volume expansion. J Trauma. 1996; 40: 936-943.
Dereen DH, Dits H, Malbrain ML. Correlation between intraabdominal and intracranial pressure in nontraumatic brain injury. Intensive Care Med. 2005; 31: 1577-1581. doi: 10.1007/ s00134-005-2802-2
Joseph DK, Dutton RP, Aarabi B, et al. Decompressive laparotomy to treat intractable intracranial hypertension after traumatic brain injury. J Trauma. 2004; 57: 687-695.
Lyons WS. Surgical abdominal decompression on relieving intractable ICH is of considerable general interest. J Trauma. 2004; 56: 723-724.
McNelis J, Marini CP, Jurkiewicz A, et al. Predictive fac-tors associated with the development of abdominal compartment syndrome in the surgical intensive care unit. Arch Surg. 2002; 137: 133-136. doi: 10.1001/archsurg.137.2.133
Balogh Z, McKinley BA, Cocanour CS, et al. Supranormal trauma resuscitation causes more cases of abdominal compart-ment syndrome. Arch Surg. 2003; 138: 637-643. doi: 10.1001/ archsurg.138.6.637
Ivatury RR. Supranormal trauma resuscitation and abdomi-nal compartment syndrome. Arch Surg. 2004; 139: 225-227.
Sugerman H, Windsor A, Bessos M, et al. Intra-abdominal pressure, sagittal abdominal diameter and obesity comorbidity. J Intern Med. 1997; 241: 71-79.
Macalino JU, Goldman RK, Mayberry JC. Medical man-agement of abdominal compartment syndrome: case report and a caution. Asian J Surg. 2002; 5: 244-246. doi: 10.1016/S1015- 9584(09)60184-6
De Waele JJ, Benoit D, Hoste E, et al. A role for muscle relaxation in patients with abdominal compartment syndrome? Intensive Care Med. 2003; 29: 332.
Latenser BA, Kowal-Vern A, Kimball D, et al. A pilot study comparing percutaneous decompression with decompressive laparotomy for acute abdominal compartment syndrome in ther-mal injury. J Burn Care Rehabil. 2002; 23: 190-195.
Cabrera J, Falcon L, Gorriz E, et al. Abdominal decompres-sion plays a major role in early postparacentesis haemodynamic changes in cirrhotic patients with tense ascites. Gut. 2001; 48: 384-389. doi: 10.1136/gut.48.3.384
Corcos AC, Sherman HF. Percuatenous treatment of sec-ondary abdominal compartment syndrome. J Trauma. 2001; 51: 1062-1064.
Reckard JM, Chung MH, Varma MK, Zagorski SM. Man-agement of intraabdominal hypertension by percuatenous cath-eter drainage. J Vasc Interv Radiol. 2005; 16: 1019-1021. doi: 10.1097/01.RVI.0000157781.67279.72
Valenza F, Garttinoni L. Continuous Negative Abdominal Pressure. Abdominal Compartment Syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugrue M, eds. Landes Bio-science Georgetown TX. 2006; 240-253.
Bloomfield GL, Saggi BH, Blocher C, et al. Physiologic effects of externally applied continuous negative abdominal pressure for intra-abdominal hypertension. J Trauma. 1999; 46: 1009-1014.
Adams J, Osiovich H, Goldberg R, et al. Hemodynamic ef-fects of continuous negative extrathoracic pressure and continu-ous positive airway pressure in piglets with normal lungs. Biol Neonate. 1992; 62: 69-75.
Kaçmaz A, Polat A, User Y, et al. Octreotide: a new approach to the management of acute abdominal hypertension. Peptides. 2003; 24: 1381-1386. doi: 10.1016/j.peptides.2003.09.004
Kaçmaz A, Polat A, User Y, et al. Octreotide improves rep-erfusion-induced oxidative injury in acute abdominal hyperten-sion in rats. J Gastrointest Surg. 2004; 8: 113-119.
Sener G, Kaçmaz A, User Y, et al. Melatonin ameliorates oxidative organ damage induced by acute intra-abdominal com-partment syndrome in rats. J Pineal Res. 2003; 35: 163-168. doi: 10.1034/j.1600-079X.2003.00070.x
Vachharajani V, Scott LK, Grier L, Conrad S. Ultra medi-cal management of severe intra-abdominal hypertension with aggressive diuresis and continuous-filtration. The Internet J Emerg and Intensive Care Med. 2003; 6. doi: 10.4103/2349- 0977.131859
Keulenaer B, Regli R, De laet I, et al. What’s new in medi-cal management strategies for raised intra-abdominal pressure: evacuating intra-abdominal contents, improving abdominal wall compliance, pharmacotherapy, and continuous negative extra-abdominal pressure. Anaesthesiology Intensive Therapy. 2014; 47(1): 54-62 doi: 10.5603/AIT.a2014.0065
Cheatham ML, De Waele JJ, De Laet I, et al. The impact of body position on intra-abdominal pressure measurement: a multicenter analysis. Crit Care Med. 2009; 37: 2187-2190. doi: 10.1097/CCM.0b013e3181a021fa
Yi M, Leng Y, Bai Y, et al. The evaluation of the effect of body positioning on intra-abdominal pressure measurement and the effect of intra-abdominal pressure at different body position-ing on organ function and prognosis in critically ill patients. J Crit Care. 2012; 27: 222.e221-226. doi: 10.1016/j.jcrc.2011.08.010
Wilmer A, Dits H, Malbrain ML, Frans E, Tack J. Gastric emptying in the critically ill – the way forward? Intensive Care Med. 1997; 23: 928-929.
The SAFE Study Investigators. A comparison of albumin and saline for fluid resuscitation in the intensive care unit. N Engl J Med. 2004; 350: 2247-2256. doi: 10.1056/NEJMoa040232
Schechter WP, Ivatury RR, Rotondo MF, Hirschberg A. Open abdomen after trauma and abdominal sepsis: a strategy for management. J Am Coll Surg. 2006; 32: 1912-1914. doi: 10.1016/j.jamcollsurg.2006.06.001
Gracias VH, Braslow B, Johnson J, et al. Abdominal com-partment syndrome in the open abdomen. Arch Surg. 2002; 137: 1198-1200. doi: 10.1001/archsurg.137.11.1298
De Waele JJ, Hoste EAJ, Malbrain MLNG. Decompres-sive laparotomy for abdominal compartment syndrome-a critical analysis. Crit Care. 2006; 10. doi: 10.1186/cc4870
Chang MC, Miller PR, D’Agostino R Jr, Meredith JW. Ef-fects of abdominal decompression on cardiopulmonary function and visceral perfusion in patients with intra-abdominal hyper-tension. J Trauma. 1998; 44: 440-445.
Kaplan M. Surgical approaches to the open abdomen. Ab-dominal Compartment Syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugure M, eds. Landes Bioscience, Georgetown TX, 2006; 282-296.
Myers JA, Latensier BA. Nonoperative progressive Bogota Bag closure after abdominal decompression. Am Surg. 2002; 68: 1029-1030.
Brox-Jiménez A, Ruiz-Luque V, Torres-Arcos C, et al. Ex-perience with the Bogota bag technique for temporary abdomi-nal closure. Cir Esp. 2007; 82: 150-154.
Schein M, Saadia R, Jamieson JR, Decker GAG. The ‘sand-wich technique’ in the management of the open abdomen. Br J Surg. 1986; 73: 369-370. doi: 10.1002/bjs.1800730514
Hadeed JG, Staman GW, Sariol HS, Kumar S, Ross SE. De-layed primary closure in damage control laparotomy: the value of the Wittmann patch. Am Surg. 2007; 73: 10-12.
Perez D, Wildi S, Demartines N, Bramkamp M, Koehler C, Clavien PA. Prospective evaluation of vacuum-assisted clo-sure in abdominal compartment syndrome and severe abdomi-nal sepsis. J Am Coll Surg. 2007; 205: 586-592. doi: 10.1016/j. jamcollsurg.2007.05.015
Nagy KK, Fildes JJ, Mahr C, et al. Experience with three prosthetic materials in temporary abdominal wall closure. Am Surg. 1996; 62: 331-335.
Mayberry JC, Mullins RJ, Crass RA, et al. Prevention of abdominal compartment syndrome by absorbable mesh pros-thesis closure. Arch Surg. 1997; 132: 957-961. doi: 10.1001/ archsurg.1997.01430330023003
Tremblay LN, Feliciano DV, Schmidt J, et al. Skin only or silo closure in the critically ill patient with the open abdo-men. Am J Surg. 2002; 182: 670-675. doi: 10.1016/S0002-9610- (01)00805-4
Garcia-Sabrido JL, Tallado JM, Christou NV, et al. Treat-ment of severe intra-abdominal sepsis and/or necrotic foci by an “open abdomen” approach. Zipper and zipper-mesh techniques. Arch Surg. 1988; 123: 152-156. doi: 10.1001/ archsurg.1988.01400260032002
Wittmann DH, Aprahamian C, Bergstein JM. Etappenla-vage. Advanced diffuse peritonitis managed by planned multiple laparotomies utilizing zippers, slide fastener and Velcro ana-logue for temporary abdominal closure. World J Surg. 1990; 14: 218-226.
Cuesta MA, Doblas M, Castaneda L, et al. Sequential ab-dominal re-exploration with the zipper technique. World J Surg. 1991; 15: 74-80.
Navsaria PH, Bunting M, Omoshoro-Jones J, Nicol AJ, Kahn D. Temporary closure of open abdominal wounds by the modified sandwich-vacuum pack technique. Br J Surg. 2003; 90: 718-722. doi: 10.1002/bjs.4101
Fansler RF, Taheri P, Cullinane C, et al. Polypropylene mesh closure of the complicated abdominal wound. Am J Surg. 1995; 170: 15-18. doi: 10.1016/S0002-9610(99)80244-X
Jernigan TW, Fabian TC, Croce MA, et al. Staged man-agement of giant abdominal wall defects. acute and long-term results. Ann Surg. 2003; 238: 349-357. doi: 10.1097/01. sla.0000086544.42647.84
Garner GB, Ware DN, Cocanour CS, et al. Vacuum as-sisted wound provides early fascial reapproximation in trauma patients with open abdomens. Am J Surg. 2001; 182: 630-638. doi: 10.1016/S0002-9610(01)00786-3
Goverman J, Yelon JA, Platz JJ, Singson RC, Turcinovic M. The fistula VAC, a technique for management of enterocu-taneous fistulae arising within the open abdomen: report of 5 cases. J Trauma. 2006; 60: 428-431.
Goettler CE, Rotondo MF, Schwab CW. Surgical manage-ment of the open abdomen after damage control or abdominal compartment syndrome. Abdominal Compartment Syndrome. In: Ivatury RR, Cheatham ML, Malbrain MLNG, Sugure M, eds. Landes Bioscience Georgetown TX. 2006; 271-282.
Cothren CC, Moore EE, Ciesla DJ, et al. Postinjury ab-dominal compartment syndrome does not preclude early enteral feeding after definitive closure. Am J Surg. 2004; 188: 653-658. doi: 10.1016/j.amjsurg.2004.08.036
Miller PR, Meredith JW, Johnson JC, Chang MC. Pro-spective evaluation of vacuum-assisted fascial closure after open abdomen: planned ventral hernia rate is substantially reduced. Ann Surg. 2004; 239: 608-616. doi: 10.1097/01. sla.0000124291.09032.bf
Wechselberger G, Schoeller T, Rainer C, et al. Temporary closure of full-thickness abdominal wall defects with mesh grafts. Langenbecks Arch Surg. 1999; 384: 88-89.
Fabian TC, Croce MA, Pritchard FE, et al. Planned ventral hernia: staged management for acute abdominal wall defects. Ann Surg. 1994; 219: 643-653.
Miller PR, Thompson JT, Faler BJ, et al. Late fascial clo-sure in lieu of ventral hernia: the next step in open abdomen management. J Trauma. 2002; 53: 843-849.
Petersson U, Acosta S, Bjorck M. Vacuum-assisted wound closure and mesh-mediated fascial traction: a novel technique for late closure of the open abdomen. World J Surg. 2007. doi: 10.1007/s00268-007-9222-0
Vogel TR, Diaz JJ, Miller RS, et al. The open abdomen in trauma: do infectious complications affect primary abdominal closure? Surg Infect (Larchmt). 2006; 7: 433-441. doi: 10.1089/ sur.2006.7.433
Howdieshell TR, Proctor CD, Sternberg E, Cué JI, Mondy S, Hawkins ML. Temporary abdominal closure followed by defini-tive abdominal wall reconstruction of the open abdomen. Am J Surg. 2004; 188: 301-306. doi: 10.1016/j.amjsurg.2004.03.007
Ramirez OM, Ruas E, Dellon AL. Components separation method for closure of abdominal-wall defects: an anatomic and clinical study. Plast Reconstr Surg. 1990; 86: 519-526.
Carlson GW, Elwood E, Losken A, et al. The role of tis-sue expansion in abdominal wall reconstruction. Ann Plast Surg. 2000; 44: 147-153.
Mathes SJ, Steinwald PM, Foster RD, Hoffman WY, An-thony JP. Complex abdominal wall reconstruction: a comparison of flap and mesh closure. Ann Surg. 2000; 232: 586-596.
Cohen M. Management of abdominal wall defects result-ing from complications of surgical procedures. Clin Plast Surg. 2006; 33: 281-294. doi: 10.1016/j.cps.2005.12.003
Porshinsky B, Ramasastry S. Abdominal wall reconstruc-tion with free flaps. Clin Plast Surg. 2006; 33: 269-280.
Cheatham ML, Safcsak K, Llerena LE, et al. Long-term physical, mental and functional consequences of abdominal de-compression. J Trauma. 2004; 56: 237-242.
Cothren CC, Moore EE, Johnson ML, Moore JB, Burch JM. One hundred percent fascial approximation with sequential abdominal closure of the open abdomen. Am J Surg. 2006; 192: 238-242. doi: 10.1097/TA.0b013e318236b319
Rohrich RJ, Lowe JB, Hackney FL, Bowman JL, Hobar PC. An algorithm for abdominal wall reconstruction. Plast Re-constr Surg. 2000; 105: 202-216.
Libberecht K, Colpaert SDM, Van Hee R, Jadoul J-L, De Clercq S, Sonneville T. New developments in abdominal wall reconstruction after abdominal compartment syndrome decom-pression. Acat Clin Belg. 2007; 62: 220-4 OA 29.
Paletta CF, Huang DB, Dehgan K, et al. The use of tissue expanders in staged abdominal wall reconstruction. Ann Plast Surg. 1999; 42: 259-265.
Butler CE, Langstein HN, Kronowitz SJ. Pelvic, abdomi-nal and chest wall reconstruction with AlloDerm in patients at increased risk for mesh-related complications. Plast Reconstr Surg. 2005; 116: 1263-1277.
Butler CE. The role of bioprosthetics in abdominal wall re-construction. Clin Plast Surg. 2006; 33: 199-211. doi: 10.1016/j. cps.2005.12.009
Girotto JA, Ko MJ, Redett R, Muehlenberger T, Talamani M, Chang B. Closure of chronic abdominal wall defects: a long-term evaluation of the components separation method. Ann Plast Surg. 1999; 42: 385-395.
Lowe JB 3rd, Lowe JB, Baty JD, Garza JR. Risks associated with components separation for closure of complex abdominal wall defects. Plast Reconstr Surg. 2003; 111: 1276-1288.
Lowe JB, Garza JR, Bowman JL, Rohrich RJ, Strodel WE. Endoscopically assisted components separation for closure of abdominal wall defects. Plast Reconstr Surg. 2000; 105: 720- 730.
Saulis AS, Dumanian GA. Periumbilical rectus abdominis perforator preservation significantly reduces superficial wound complications in separation of parts hernia repairs. Plast Recon-str Surg. 2002; 109: 2275-2280.
Nguyen V, Shestak KC. Separation of anatomic compo-nents method of abdominal wall reconstruction-clinical out-come analysis and an update of surgical modifications using the technique. Clin Plast Reconstr Surg. 2006; 33: 247-257. doi: 10.1016/j.cps.2005.12.010
Shestak KC, Edington HJ, Johnson RR. The separation of anatomic components technique for the reconstruction of mas-sive midline abdominal wall defects: anatomy, surgical tech-nique, applications and limitations revisited. Plast Reconstr Surg. 2000; 105: 731-739.
Disa JJ, Goldberg NH, Carlton JM, et al. Restoring abdomi-nal wall integrity in contaminated tissue-deficient wounds using autologous fascia grafts. Plast Reconstr Surg. 1998; 101: 979- 986.
Hultman CS, Pratt B, Cairns BA, et al. Multidisciplinary approach to abdominal wall reconstruction after decompressive laparotomy for abdominal compartment syndrome. Ann Plast Surg. 2005; 54: 269-275.
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