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Surgical Abdominal Decompression Procedure

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Surgical Abdominal Decompression Procedure

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Questions and Answers

What is the purpose of a temporary abdominal closure after surgical abdominal decompression?

To prevent abdominal wall retraction with ventral hernia development

To prevent fistula formation

To decrease the risk of wound infection (correct)

To reduce protein loss by drainage of peritoneal fluid

Why is the ideal timing for surgical decompression in abdominal compartment syndrome debatable?

Because it can lead to rapid improvement in organ dysfunction

Because it can only be done in the ICU at the bedside

Because it is associated with many complications

Because early pursuit of surgical intervention can exacerbate patient stress (correct)

What is a potential complication associated with leaving the abdominal wall open after surgical decompression?

Abdominal wall retraction with ventral hernia development (correct)

Reduced protein loss by drainage of peritoneal fluid

Prevention of fistula formation

Increase in organ dysfunction

Under what conditions is surgical decompression indicated for patients with increased intra-abdominal pressure (IAP)?

When the Abdominal Perfusion Pressure (APP) is less than 50 Signup and view all the answers

What is the most effective therapeutic approach to achieve abdominal decompression when conservative therapy fails?

Emergency laparotomy Signup and view all the answers

When should surgical decompression be considered for patients with intra-abdominal hypertension (IAH) according to the text?

When conservative medical management does not lead to improved IAH and further organ damage is noted Signup and view all the answers

What is the formula for Abdominal Perfusion Pressure (APP) as mentioned in the text?

$MAP-IAP$ Signup and view all the answers

What is the recommended interval for taking pressure measurements to identify worsening intra-abdominal hypertension (IAH)?

Every 6 hours Signup and view all the answers

Which condition is a contraindication for pressure measurements in the bladder?

Neurogenic bladder Signup and view all the answers

What is the goal of non-surgical treatment for abdominal compartment syndrome (ACS)?

To evacuate intraluminal contents Signup and view all the answers