腹部大動脈瘤破裂におけるopen abdominal managementの意義について
腹部大動脈瘤破裂126例を対象に治療戦略変更の妥当性を検討した。2008年から閉腹により腹腔内圧が上昇すると予想される症例では，abdominal compartment syndromeの予防目的で積極的にopen abdominal managementを施行した。治療方針変更後，手術死亡は31%から8%へ，腸管虚血・壊死の合併率も24%から4%と著明に改善した。...
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| Published in | 脈管学 Vol. 52; no. May; pp. 253 - 258 |
|---|---|
| Main Authors | , , , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本脈管学会
10.05.2012
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0387-1126 1880-8840 |
| DOI | 10.7133/jca.52.253 |
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| Abstract | 腹部大動脈瘤破裂126例を対象に治療戦略変更の妥当性を検討した。2008年から閉腹により腹腔内圧が上昇すると予想される症例では，abdominal compartment syndromeの予防目的で積極的にopen abdominal managementを施行した。治療方針変更後，手術死亡は31%から8%へ，腸管虚血・壊死の合併率も24%から4%と著明に改善した。 |
|---|---|
| AbstractList | 腹部大動脈瘤破裂126例を対象に治療戦略変更の妥当性を検討した。2008年から閉腹により腹腔内圧が上昇すると予想される症例では，abdominal compartment syndromeの予防目的で積極的にopen abdominal managementを施行した。治療方針変更後，手術死亡は31%から8%へ，腸管虚血・壊死の合併率も24%から4%と著明に改善した。 |
| Author | 中桐, 啓太郎 吉田, 正人 向原, 伸彦 邉見, 宗一郎 福隅, 正臣 本多, 祐 村上, 博久 森本, 直人 西岡, 成知 |
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| References | 5)Dueck AD, Kucey DS, Johnston KW, et al: Survival after ruptured abdominal aortic aneurysm: effect of patient, surgeon, and hospital factors. J Vasc Surg 2004; 39: 1253-1260 8)Mehta M, Darling RC, Roddy SP, et al: Factors associated with abdominal compartment syndrome complicating endovascular repair of ruptured abdominal aortic aneurysms. J Vasc Surg 2005; 42: 1047-1051 3)Ernst CB: Abdominal aortic aneurysm. N Engl J Med 1993; 328: 1167-1172 10)Champagne BJ, Darling RC, Daneshmand M, et al: Outcome of aggressive surveillance colonoscopy in ruptured abdominal aortic aneurysm. J Vasc Surg 2004; 39: 792-796 11)Diebel LN, Dulchavsky SA, Wilson RF: Effect of increased intra-abdominal pressure on mesenteric arterial and intestinal mucosal blood flow. J Trauma 1992; 33: 45-48 12)Friedlander MH, Simon RJ, Ivatury R, et al: Effect of hemorrhage on superior mesenteric artery flow during increased intra-abdominal pressures. J Trauma 1998; 45: 433-489 13)Mayer D, Rancic Z, Meier C, et al: Open abdomen treatment following endovascular repair of ruptured abdominal aortic aneurysms. J Vasc Surg 2009; 50: 1-7 4)Hertzer NR, Mascha EJ, Karafa MT, et al: Open infrarenal abdominal aortic aneurysm repair: The Cleveland Clinic experience from 1989 to 1998. J Vasc Surg 2002; 35: 1145-1154 9)Rasmussen TE, Hallett JW, Noel AA, et al: Early abdominal closure with mesh reduces multiple organ failure after ruptured abdominal aortic aneurysm repair: guidelines from a 10-year case-control study. J Vasc Surg 2002; 35: 246-253 14)Oelschlager BK, Boyle EM, Johansen K, et al: Delayed abdominal closure in the management of ruptured abdominal aortic aneurysms. Am J Surg 1997; 173: 411-415 2)Suliburk JW, Ware DN, Balogh Z, et al: Vacuum-assisted wound closure achieves early fascial closure of open abdomens after severe trauma. J Trauma 2003; 55: 1155-1160 16)Barker DE, Kaufman HJ, Smith LA, et al: Vacuum pack technique of temporary abdominal closure: a 7-year experience with 112 patients. J Trauma 2000; 48: 201-206 1)Loftus IM, Thompson MM: The abdominal compartment syndrome following aortic surgery. Eur J Vasc Endovasc Surg 2003; 25: 97-109 7)Boyle JR, Gibbs PJ, King D, et al: Predicting outcome in ruptured abdominal aortic aneurysm: a prospective study of 100 consecutive cases. Eur J Vasc Endovasc Surg 2003; 26: 607-611 15)Sherck J, Seiver A, Shatney C, et al: Covering the "open abdomen": a better technique. Am Surg 1998; 64: 854-857 6)Bown MJ, Cooper NJ, Sutton AJ, et al: The post-operative mortality of ruptured abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg 2004; 27: 65-74 |
| References_xml | – reference: 3)Ernst CB: Abdominal aortic aneurysm. N Engl J Med 1993; 328: 1167-1172 – reference: 6)Bown MJ, Cooper NJ, Sutton AJ, et al: The post-operative mortality of ruptured abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg 2004; 27: 65-74 – reference: 10)Champagne BJ, Darling RC, Daneshmand M, et al: Outcome of aggressive surveillance colonoscopy in ruptured abdominal aortic aneurysm. J Vasc Surg 2004; 39: 792-796 – reference: 9)Rasmussen TE, Hallett JW, Noel AA, et al: Early abdominal closure with mesh reduces multiple organ failure after ruptured abdominal aortic aneurysm repair: guidelines from a 10-year case-control study. J Vasc Surg 2002; 35: 246-253 – reference: 13)Mayer D, Rancic Z, Meier C, et al: Open abdomen treatment following endovascular repair of ruptured abdominal aortic aneurysms. J Vasc Surg 2009; 50: 1-7 – reference: 8)Mehta M, Darling RC, Roddy SP, et al: Factors associated with abdominal compartment syndrome complicating endovascular repair of ruptured abdominal aortic aneurysms. J Vasc Surg 2005; 42: 1047-1051 – reference: 4)Hertzer NR, Mascha EJ, Karafa MT, et al: Open infrarenal abdominal aortic aneurysm repair: The Cleveland Clinic experience from 1989 to 1998. J Vasc Surg 2002; 35: 1145-1154 – reference: 12)Friedlander MH, Simon RJ, Ivatury R, et al: Effect of hemorrhage on superior mesenteric artery flow during increased intra-abdominal pressures. J Trauma 1998; 45: 433-489 – reference: 14)Oelschlager BK, Boyle EM, Johansen K, et al: Delayed abdominal closure in the management of ruptured abdominal aortic aneurysms. Am J Surg 1997; 173: 411-415 – reference: 7)Boyle JR, Gibbs PJ, King D, et al: Predicting outcome in ruptured abdominal aortic aneurysm: a prospective study of 100 consecutive cases. Eur J Vasc Endovasc Surg 2003; 26: 607-611 – reference: 1)Loftus IM, Thompson MM: The abdominal compartment syndrome following aortic surgery. Eur J Vasc Endovasc Surg 2003; 25: 97-109 – reference: 11)Diebel LN, Dulchavsky SA, Wilson RF: Effect of increased intra-abdominal pressure on mesenteric arterial and intestinal mucosal blood flow. J Trauma 1992; 33: 45-48 – reference: 15)Sherck J, Seiver A, Shatney C, et al: Covering the "open abdomen": a better technique. Am Surg 1998; 64: 854-857 – reference: 5)Dueck AD, Kucey DS, Johnston KW, et al: Survival after ruptured abdominal aortic aneurysm: effect of patient, surgeon, and hospital factors. J Vasc Surg 2004; 39: 1253-1260 – reference: 16)Barker DE, Kaufman HJ, Smith LA, et al: Vacuum pack technique of temporary abdominal closure: a 7-year experience with 112 patients. J Trauma 2000; 48: 201-206 – reference: 2)Suliburk JW, Ware DN, Balogh Z, et al: Vacuum-assisted wound closure achieves early fascial closure of open abdomens after severe trauma. J Trauma 2003; 55: 1155-1160 |
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| Snippet | 腹部大動脈瘤破裂126例を対象に治療戦略変更の妥当性を検討した。2008年から閉腹により腹腔内圧が上昇すると予想される症例では，abdominal compartment syndromeの予防目的で積極的にopen abdominal... |
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| SubjectTerms | abdominal compartment syndrome open abdominal management ruptured abdominal aortic aneurysm vacuum assisted closure |
| Title | 腹部大動脈瘤破裂におけるopen abdominal managementの意義について |
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