Avoiding High Pressure Abdominal Closure of Congenital Abdominal Wall Defects-One Step Further to Improve Outcomes

The main goal of surgical treatment for gastroschisis and omphalocele is the reduction of viscera in the abdominal cavity and closure of the abdomen, but the challenge is to succeed without the detrimental effects of increased intraabdominal pressure. In this regard, we performed a retrospective stu...

Full description

Saved in:
Bibliographic Details
Published inChildren (Basel) Vol. 10; no. 8; p. 1384
Main Authors Mocanu, Raluca-Alina, Cîrstoveanu, Cătălin, Bizubac, Mihaela, Secheli, Ionuț Fernando, Ionescu, Nicolae Sebastian
Format Journal Article
LanguageEnglish
Published Switzerland MDPI AG 01.08.2023
MDPI
Subjects
Abdomen
Apgar score
Birth weight
Bladder
Care and treatment
Catheters
Children's hospitals
Compartment syndrome
Compression therapy
Data collection
Edema
Females
gastroschisis
Genetic disorders
Gestational age
Hospitals
Intensive care
intraabdominal pressure
Medical research
Medicine, Experimental
Neonatal intensive care
omphalocele
Ostomy
Patient outcomes
Patients
Polyvinyl chloride
Software
Surgeons
Romania
intraabdominal pressure
compartment syndrome
gastroschisis
omphalocele
Online AccessGet full text

Cover

More Information
Summary:The main goal of surgical treatment for gastroschisis and omphalocele is the reduction of viscera in the abdominal cavity and closure of the abdomen, but the challenge is to succeed without the detrimental effects of increased intraabdominal pressure. In this regard, we performed a retrospective study for all patients admitted for gastroschisis and omphalocele to the Neonatal Intensive Care Unit of 'Marie Sklodowska Curie' Emergency Clinical Hospital for Children, from January 2011 until June 2021. Our aim was to highlight the presence of postoperative abdominal compartment syndrome. We observed that six out of forty-seven patients developed clinical signs of abdominal compartment syndrome, five associated with primary closure and one with staged closure with a polyvinyl chloride patch. Following the results, we decided to implement the trans-bladder measurement of intraabdominal pressure to avoid closing the abdomen at pressures higher than 10 mmHg in order to prevent the development of abdominal compartment syndrome. We consider that there is still place for the improvement of congenital abdominal wall defects management and that the measurement of intraabdominal pressure might help us reach our goal.
Bibliography:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
ISSN:2227-9067
2227-9067
DOI:10.3390/children10081384