Abdominal Catastrophe – Surgeon’s View

Česká verzia

Authors: F. Vyhnánek
Authors place of work: Chirurgická klinika FNKV a 3. LF UK, Praha, přednosta: prof. MUDr. R. Gürlich, CSc.
Published in the journal: Rozhl. Chir., 2010, roč. 89, č. 6, s. 356-360.
Category: Monothematic special - Original

Summary

Abdominal catastrophe is a serious clinical condition, usually being a complication arising during treatment of intraabdominal non-traumatic disorders or abdominal injuries. Most commonly, inflamation- secondary peritonitis, is concerned. Abdominal catastrophe also includes secondary signs of sepsis, abdominal compartment syndrome and enterocutaneous fistules. Most septic abdominal disorders which show signs of abdominal catastrophy, require surgical intervention and reinterventions – planned or „on demand“ laparotomies.

During the postoperative period, the patient requires intensive care management, including steps taken to stabilize his/hers condition, management of sepsis and metabolic and nutritional support measures, as well as adequate indication for reoperations. New technologies aimed at prevention of complications in laparostomies and to improve conditions for final laparotomy closure are used in phase procedures for surgical management of intraabdominal infections. Despite the new technologies, abdominal catastrophe has higher morbidity and lethality risk rates.

Key words:
abdominal catastrophe – planned relaparotomy – open abdomen

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