caa a22 4500 467948542 CHVBK 20180405193739.0 cr unu---uuuuu 170328e20041101xx s 000 0 eng 10.1007/BF02637135 doi (NATIONALLICENCE)springer-10.1007/BF02637135 (NATIONALLICENCE)springer-10.1007/s00464-004-8910-1 Modified extraperitoneal endoscopic separation of parts for abdominal compartment syndrome [Elektronische Daten] [G. Barnes, P. Papasavas, M. O'Mara, J. Urbandt, F. Hayetian, D. Gagné, E. Newton, P. Caushaj] Background: Standard therapy for abdominal compartment syndrome (ACS) is laparotomy and temporary abdominal wall closure with significant morbidity. The component separation technique allows for difficult abdominal closure. We studied a modified extraperitoneal endoscopic separation of parts technique on an animal model of ACS. Methods: Twelve anesthetized pigs were instrumented for measurement of central venous pressure, arterial pressure, pulmonary artery pressure, pulmonary capillary wedge pressure, cardiac output, and intraabdominal pressure (IAP). ACS to 25 mmHg was created by infusing saline into an intraabdominally placed bag. Animals were divided in two equal groups. Pigs in group A underwent minimally invasive resection of the nerves supplying the rectus muscles bilaterally. Pigs in group B underwent minimally invasive modified component separation technique bilaterally. Change in IAP and other physiological parameters were recorded. Results: (Group A) IAP increased significantly from 7.3 mmHg±3.8 to 25.2 mmHg±1.5 with infusion of saline. Following nerve transection on the right side there was a nonsignificant decrease in IAP from 25.2 mmHg±1.5 to 22.3 mmHg±1.4 and following nerve transection on the left side there was a further decrease in IAP to 20.3 mmHg±1.9. (Group B) IAP increased significantly from 3.8 mmHg±0.4 to 24.7 mmHg±0.5 with infusion of saline. Following separation of parts on the right side there was a significant decrease in IAP from 24.7 mmHg±0.5 to 15.0 mmHg±1.7 and there was a further decrease in IAP to 11.3 mmHg±1.4 following separation of parts on the left side. The only significant change in the physiological parameters measured was observed in CVP in both groups. Conclusion: We present a porcine model of extraperitoneal endoscopic release of abdominal wall components as a treatment option for ACS. Springer Science+Business Media, Inc, 2004 Abdominal compartment syndrome nationallicence Intraabdominal hypertension nationallicence Components separation nationallicence Separation of parts nationallicence Barnes G. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut Papasavas P. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut O'Mara M. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut Urbandt J. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut Hayetian F. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut Gagné D. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut Newton E. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut Caushaj P. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut Surgical Endoscopy And Other Interventional Techniques Springer-Verlag 18/11(2004-11-01), 1636-1639 0930-2794 18:11<1636 2004 18 464 https://doi.org/10.1007/BF02637135 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/BF02637135 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Barnes G. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Papasavas P. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- O'Mara M. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Urbandt J. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Hayetian F. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Gagné D. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Newton E. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Caushaj P. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Avenue, 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag 18/11(2004-11-01), 1636-1639 0930-2794 18:11<1636 2004 18 464 NATIONALLICENCE 856 40 https://doi.org/10.1007/s00464-004-8910-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Barnes G. S. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Ave., 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Papasavas P. K. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Ave., 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- O'Mara M. S. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Ave., 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Urbandt J. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Ave., 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Hayetian F. D. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Ave., 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Gagné D. J. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Ave., 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Newton E. D. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Ave., 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 700 1- Caushaj P. F. Department of Surgery, The Western Pennsylvania Hospital, Temple University School of Medicine Clinical Campus, 4800 Friendship Ave., 15224, Pittsburgh, PA, USA aut NATIONALLICENCE 773 0- Surgical Endoscopy And Other Interventional Techniques Springer-Verlag; www.springer-ny.com 18/11(2004-11-01), 1636-1639 0930-2794 18:11<1636 2004 18 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE NATIONALLICENCE NL-springer