Pedro Ducatti de Oliveira E Silva, Renato Miranda de Melo, Cássio Eduardo da Silva Gontijo, Ênio Chaves de Oliveira
{"title":"Lázaro da Silva 腹股沟疝修补术中的腹内压监测:横断面研究。","authors":"Pedro Ducatti de Oliveira E Silva, Renato Miranda de Melo, Cássio Eduardo da Silva Gontijo, Ênio Chaves de Oliveira","doi":"10.1590/0102-6720202400020e1813","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Maintaining normal intra-abdominal pressure (IAP) levels must be one major outcome of any ventral hernia repair, avoiding hypertension or abdominal compartment syndrome.</p><p><strong>Aims: </strong>To evaluate IAP during ventral hernia repair using Lázaro da Silva's procedure.</p><p><strong>Methods: </strong>IAP measurements using intravesical pressure were performed during four crucial intraoperative moments. Twenty-eight patients submitted to incisional herniorrhaphy were analyzed.</p><p><strong>Results: </strong>The IAP increased by 0.5 mmHg during the procedure, regardless of the type of prior laparotomy, sex, age, obesity, or hernia width.</p><p><strong>Conclusions: </strong>Despite the IAP increase observed, Lázaro da Silva's procedure did not result in intra-abdominal hypertension or abdominal compartment syndrome.</p>","PeriodicalId":72298,"journal":{"name":"Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery","volume":"37 ","pages":"e1813"},"PeriodicalIF":0.0000,"publicationDate":"2024-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11259399/pdf/","citationCount":"0","resultStr":"{\"title\":\"INTRA-ABDOMINAL PRESSURE MONITORING DURING LÁZARO DA SILVA'S PROCEDURE FOR VENTRAL HERNIA REPAIR: A CROSS-SECTIONAL STUDY.\",\"authors\":\"Pedro Ducatti de Oliveira E Silva, Renato Miranda de Melo, Cássio Eduardo da Silva Gontijo, Ênio Chaves de Oliveira\",\"doi\":\"10.1590/0102-6720202400020e1813\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Maintaining normal intra-abdominal pressure (IAP) levels must be one major outcome of any ventral hernia repair, avoiding hypertension or abdominal compartment syndrome.</p><p><strong>Aims: </strong>To evaluate IAP during ventral hernia repair using Lázaro da Silva's procedure.</p><p><strong>Methods: </strong>IAP measurements using intravesical pressure were performed during four crucial intraoperative moments. Twenty-eight patients submitted to incisional herniorrhaphy were analyzed.</p><p><strong>Results: </strong>The IAP increased by 0.5 mmHg during the procedure, regardless of the type of prior laparotomy, sex, age, obesity, or hernia width.</p><p><strong>Conclusions: </strong>Despite the IAP increase observed, Lázaro da Silva's procedure did not result in intra-abdominal hypertension or abdominal compartment syndrome.</p>\",\"PeriodicalId\":72298,\"journal\":{\"name\":\"Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery\",\"volume\":\"37 \",\"pages\":\"e1813\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-07-19\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11259399/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1590/0102-6720202400020e1813\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/0102-6720202400020e1813","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
摘要
背景:维持正常的腹腔内压力(IAP)水平必须是腹股沟疝修补术的主要成果之一,以避免高血压或腹腔隔室综合征:方法:在术中四个关键时刻使用膀胱内压测量 IAP。对 28 名接受切口疝修补术的患者进行了分析:结果:在手术过程中,IAP 增加了 0.5 mmHg,与之前的开腹手术类型、性别、年龄、肥胖或疝气宽度无关:结论:尽管观察到IAP增加,但Lázaro da Silva的手术并未导致腹内高压或腹腔间隔综合征。
INTRA-ABDOMINAL PRESSURE MONITORING DURING LÁZARO DA SILVA'S PROCEDURE FOR VENTRAL HERNIA REPAIR: A CROSS-SECTIONAL STUDY.
Background: Maintaining normal intra-abdominal pressure (IAP) levels must be one major outcome of any ventral hernia repair, avoiding hypertension or abdominal compartment syndrome.
Aims: To evaluate IAP during ventral hernia repair using Lázaro da Silva's procedure.
Methods: IAP measurements using intravesical pressure were performed during four crucial intraoperative moments. Twenty-eight patients submitted to incisional herniorrhaphy were analyzed.
Results: The IAP increased by 0.5 mmHg during the procedure, regardless of the type of prior laparotomy, sex, age, obesity, or hernia width.
Conclusions: Despite the IAP increase observed, Lázaro da Silva's procedure did not result in intra-abdominal hypertension or abdominal compartment syndrome.