Utilidad del control de la presión intraabdominal en el tratamiento de las eventraciones gigantes

Article information

Resumen

En las eventraciones gigantes la reintegración quirúrgicade las vísceras, posible bajo curarización, provoca aumentos de la presión intraabdominal que afectan a la evolución postoperatoria de estos pacientes.

Valoramos la utilidad del control de la presión intravesical como guía durante el cierre de la pared abdominal para prevenir la aparición de hipertensión abdominal, así como durante el postoperatorio, lo que permite reconocer su presencia y establecer de forma temprana un tratamiento adecuado.

Palabras clave:

Eventración

Presión vesical

Hipertensión intraabdominal

In giant eventrations, surgical reintegration of the viscera, possible under curare, increases intraabdominal pressure, which affects the postoperative course of these patients. We evaluated the utility of intravesical pressure measurement as a guide during abdominal wall closure, and also during the postoperative period, thus allowing its diagnosis and the early instauration of appropriate treatment.

Key words:

Eventration

Vesical Pressure

Intraabdominal hypertension

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