European Journal of Molecular & Clinical Medicine

Abstract

Background &Method: The aim of this study is to assess to the role of preoperative bilateral intra-abdominal drain in the management of Abdominal Comportment Syndrome in cases of perforation peritonitis.Study of role of pre-operative bilateral intra-abdominal drain in the management of abdominal compartment syndrome in cases of perforation peritonitis. All the patients will be evaluated before and after the bilateral drain placement and after definitive surgery.
 
Result:In the present study, Mean pulse rate settled down to 124.09; Mean arterial pressure (MAP) raised from 68.69 mm of Hg. Mean respiratory rate settled down from 26.1 per min; Mean abdominal girth decreased from 102.86 cms; Mean IAP  decreased from 25.57 mm of Hg; Mean value of urine output increased from 22.79 ml in study group.
 
Conclusion:Abdominal compartment syndrome is a well-recognized disease entity related to acutely increase intra-abdominal pressure but its management is uncertain. Patients of ACS are usually critically ill, many land up with unrecordable pulse and blood pressure with deranged haematological and renal functions. Providing anaesthesia for such critically ill patients undergoing decompressive laparotomy is extremely challenging and usually further delays the definitive surgery. There has been significant improvement of vitals after percutaneous abdominal drains placement prior to definitive surgery in study group.