Abstract

The aim of the study is to diagnoses the development of Abdominal Comportment Syndrome in blunt trauma abdomen patients. IAP can be measured by direct or indirect methods. Though the direct methods are quite accurate over all ranges of IAP, it is impractical and not feasible for routine practice. Indirect pressure measurement is done through Inferior Vena cava, gastric, rectal and Urinary Bladder. However, the simplest and the method of choice is transurethral measurement of UBP using a Foley’s catheter. The bladder is drained and then it is filled with 25 ml of normal saline. Results: Mortality among operated patients with ACS is 22.22% while much lower among patients without ACS 3.84%. ACS complicated cases, mortality was 22.22% and that in cases without ACS was 3.25%. Conclusion: Incidence of Abdominal Compartment Syndrome has been found to be 6.8% in studied blunt trauma abdomen patients. Incidence of intra-abdominal hypertension has been found to be 10.6%. Development of ACS from IAH can be prevented by conservative management. Selected cases of ACS can also be managed by conservative methods without open surgical technique.

Description