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Intra-abdominal pressure

Xiao-Jiao Jia, Lan-Xiang Liu, Yi-Ming Tian, Rui Wang, Qiang Lu
This study aims to investigate the correlation between oxidative stress and intra-abdominal fat (IAF) in obese young and middle-aged males.The present study included 136 male examinees in the Examination Center of the First Hospital of Qinhuangdao from October 10, 2015 to December 10, 2015. Then, clinical data, oxidative stress indices (8-iso-prostaglandin F2α [8-iso-PGF2α], malondialdehyde [MDA], and superoxide dismutase [SOD]), and IAF area were recorded. All subjects were assigned into 3 groups according to body mass index (BMI): obese group (BMI ≥ 28 kg/m, 43 subjects), overweight group (24 ≤ BMI < 28 kg/m, 46 subjects), and control group (BMI < 24 kg/m, 47 subjects)...
February 2019: Medicine (Baltimore)
Min Jang, Sooyoung Choi, In Lee, Inhyung Lee
OBJECTIVE: To describe computed tomographic (CT) features of intra-abdominal hypertension (IAH) in 3 dogs with abdominal distension. CASE SUMMARY: Three dogs with anorexia, distended abdomen, or labored breathing were presented for CT imaging. All 3 dogs were premedicated with IV butorphanol (0.2 mg/kg). A Foley urinary catheter was aseptically placed and the transvesical technique was used to obtain intra-abdominal pressure (IAP). The IAP measurements were obtained with the dogs in a standing position after a stabilization period of 5 minutes...
February 11, 2019: Journal of Veterinary Emergency and Critical Care
S Bouveresse, G Piton, N Badet, G Besch, S Pili-Floury, E Delabrousse
AIMS: The aims of the present work were to reevaluate, prospectively, the diagnostic value of already-described computed tomography (CT) landmarks of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) and to study the diagnostic value of some undescribed CT signs for the diagnosis of IAH and ACS. MATERIALS AND METHODS: Consecutive patients admitted to the intensive care unit (ICU) in shock for whom an abdominal CT was clinically indicated were included...
February 8, 2019: European Radiology
Manuel Cadena, Jaime Solano, Nicolas Caycedo, Daniel Gomez, Eric E Vinck, Pedro Quiroga, Paula Gaete
INTRODUCTION: Tension pneumoperitoneum is a severe and rare form of pneumoperitoneum with concomitant hemodynamic instability and respiratory failure. It is a variant of abdominal compartment syndrome (ACS) causing an abrupt increase in intra-abdominal pressure. PRESENTATION OF CASE: We present a case of pneumoperitoneum, after an endoscopic mucosal resection with the development of ACS. The patient was successfully treated with percutaneous decompression. DISCUSSION: Decompressive laparotomy is the first treatment option for both most forms of pneumoperitoneum and ACS; nevertheless, this issue is controversial...
January 29, 2019: International Journal of Surgery Case Reports
Hongye Wang, Jiwei Yu
OBJECTIVE: To investigate the secondary pathological changes in lung of abdominal compartment syndrome (ACS). METHODS: Twenty-five healthy adult clean New Zealand rabbits were randomly divided into control group (n = 5) and experimental group (n = 20) according to the random number table method. The experimental group was subdivided into two subgroups according to the observation time: 24 hours and 48 hours, with 10 rabbits in each subgroup. A high pressure liquid animal model of abdominal cavity was reproduced by water bag superposition pressurization...
January 2019: Zhonghua Wei Zhong Bing Ji Jiu Yi Xue
Jiro Ohara, Yukihiro Yamao, Akira Ishii, Hironori Shimizu, Takayuki Kikuchi, Yohei Takenobu, Katsuya Komatsu, Hiroyuki Ikeda, Taku Inada, Hidehisa Nishi, Yu Abekura, Susumu Miyamoto
Segmental arterial mediolysis(SAM)is a rare non-inflammatory and non-atherosclerotic arteriopathy associated with the occurrence of multiple aneurysms such as intracranial and intraperitoneal aneurysms. We report a case of intraperitoneal hemorrhage that occurred during the acute stage of subarachnoid hemorrhage(SAH). An 82-year-old woman presented with a sudden onset of loss of consciousness with a diagnosis of SAH. Digital subtraction angiography demonstrated two consecutive vertebral artery-posterior inferior cerebellar artery aneurysms...
January 2019: No Shinkei Geka. Neurological Surgery
Virgilio Ruiz-Luque, Pablo Parra-Membrives, Carlos Escudero-Severín, José Aguilar-Luque
BACKGROUND: Anastomotic leak after colorectal surgery, which remains a serious clinical problem that causes augmented morbidity and mortality, is usually favored by ischemia. The aim of this study was to determine whether alprostadil may improve anastomotic wound healing under ischemic condition. METHODS: Ninety-three adult Wistar rats were randomized into three groups: control, ischemia (by devascularization along the first 2 cm at each anastomotic end), and ischemia plus alprostadil...
December 20, 2018: Journal of Surgical Research
Heino Stass, John Lettieri, Konstantina M Vanevski, Stefan Willmann, Laura P James, Janice E Sullivan, Antonio C Arrieta, John S Bradley
The pharmacokinetics, safety, and tolerability of a single dose of moxifloxacin were characterized in 31 pediatric patients already receiving antibiotics for a suspected or proven infection in an open-label phase 1 study. A dosing strategy for each age cohort (Cohort 1: ≥6 years to ≤14 years; Cohort 2: ≥2 years to <6 years; Cohort 3: >3 month to <2 years) was developed using physiology-based pharmacokinetic modeling combined with a stepwise dosing scheme to obtain a similar exposure to adults receiving 400 mg of moxifloxacin...
January 25, 2019: Journal of Clinical Pharmacology
Christoph Anders, Agnes Hübner
BACKGROUND: A well-known supportive treatment for acute nonspecific back pain, elastic back support belts, are valued for their ability to accelerate natural self-healing, but there are concerns of a deconditioning effect due to their reliance on passive stabilization. METHODS: To evaluate the systematic effects of elastic abdominal belts on the trunk musculature, a total of 36 persons with acute lumbar back pain (no longer than one week) were divided into two groups: an abdominal belt wearing group (B) and a non-abdominal belt wearing control group (C)...
2019: PloS One
Lolita Wikander, Donelle Cross, Daniel E Gahreman
INTRODUCTION AND HYPOTHESIS: Increased intra-abdominal pressure is associated with urinary incontinence (UI) as is increasing age, obesity, and participating in sport at an elite level. We aimed to determine the prevalence of UI in competitive women powerlifters and establish if commonly cited risk factors affect the incidence of UI. METHODS: The authors developed a 17-item questionnaire to investigate the prevalence of UI and the relationship of UI with age, body mass, resistance training experience, and competition grade in competitive women powerlifters...
January 21, 2019: International Urogynecology Journal
Piero G Pavan, Silvia Todros, Paola Pachera, Silvia Pianigiani, Arturo N Natali
Abdominal wall biomechanics is strongly affected by muscular contraction and intra-abdominal pressure (IAP) which characterize different physiological functions and daily tasks. However, the active muscular behavior is generally not considered in current computational models of the abdominal wall. The aim of this study is to develop a numerical model mimicking muscular activation and IAP. A three dimensional Finite Element model of a healthy abdominal wall is developed detailing the principal abdomen components reconstructed upon anatomical data and medical images...
January 20, 2019: Computer Methods in Biomechanics and Biomedical Engineering
Liying Xu, Junfa Chen, Xiajuan Zhou, Lijuan Wu, Yixin Tong, Ni Zhu, Xiaomin Huang, Zhuoyi Zhang
Acquired hemophilia A (AHA) is a rare antibody-mediated condition in which autoantibodies form against a coagulation factor, most commonly factor VIII (FVIII), causing severe coagulopathy. Here the present report presents a case of AHA in a 35-year-old postpartum woman with continuous polyserous bloody effusions who was admitted to the First Affiliated Hospital of Zhejiang Chinese Medical University (Hangzhou, China) in October 2017 without a history of trauma, anticoagulation treatment or coagulopathy. At presentation, the patient's hemoglobin level was low (70 g/l; normal range: 115-150 g/l) g/l, blood pressure was 89/58 mmHg (normal range, 90-140/60-90 mmHg), and activated partial thromboplastin time was 68...
January 2019: Experimental and Therapeutic Medicine
Oshri Barel, Ramy Rahamim Suday, Jonathan Stanleigh, Mordechai Pansky
OBJECTIVE: To present the presentation, diagnosis and management of a patient with abdominal pregnancy and to illustrate the laparoscopic technique in which management was preformed. DESIGN: A descriptive study (Canadian task force level III) approved by our local institutional review board. Consent was given from the patient. SETTING: A university hospital in Ashdod, Israel. PATIENT: On May 15th 2018, a Gravida-3 Para-2, 37-year-old asymptomatic patient was referred to the gynecological emergency department due to a suspected ectopic pregnancy...
January 9, 2019: Journal of Minimally Invasive Gynecology
Ozden Ozgur Horoz, Dincer Yildizdas, Yusuf Sari, Ilker Unal, Faruk Ekinci, Ercument Petmezci
PURPOSE: To the best of our knowledge, in the literature, there is no data regarding clinical utility of the abdominal perfusion pressure (APP) in critically ill children. Thus, in the present study, we aimed to investigate the clinical utility of APP in predicting of survival in critically ill children with IAH. DESIGN: A prospective cohort study of patients between 1 month to 18 years who had risk for intra-abdominal hypertension from June 2013 to January 2014...
December 13, 2018: Journal of Pediatric Surgery
Annika Reintam Blaser, Adrian Regli, Bart De Keulenaer, Edward J Kimball, Liis Starkopf, Wendy A Davis, Patrick Greiffenstein, Joel Starkopf
OBJECTIVES: To identify the prevalence, risk factors, and outcomes of intra-abdominal hypertension in a mixed multicenter ICU population. DESIGN: Prospective observational study. SETTING: Fifteen ICUs worldwide. PATIENTS: Consecutive adult ICU patients with a bladder catheter. INTERVENTIONS: None. MEASUREMENTS AND MAIN RESULTS: Four hundred ninety-one patients were included...
January 2, 2019: Critical Care Medicine
Wontae Cho, Choon Hyuck David Kwon, Jin Yong Choi, Seung Hwan Lee, Jong Man Kim, Gyu Seong Choi, Jae-Won Joh, Sung Joo Kim, Gaab Soo Kim, Kwang Chul Koh
Purpose: Laparoscopic major liver resection (major LLR) remains a challenging procedure because of the technical difficulty. Several significant technical innovations have been applied in our center since 2012. They include routine application of bipolar electrocautery, initiation of temporary increase of intra-abdominal pressure during bleeding events from veins to balance the central venous pressure, and use of temporary inflow control of the Glissonean pedicle. This study evaluated the impact of these technique modifications in patients with major LLR...
January 2019: Annals of Surgical Treatment and Research
Ramazan Yildiz, Mahmut Ok, Merve Ider, Ugur Aydogdu, Amir Naseri, Kurtulus Parlak, Erdem Gulersoy
Introduction: Intestinal obstruction such as atresia coli causes pathophysiological changes in gastrointestinal tissue due to the rise of intra-abdominal pressure. The aim of this study is to determine the intestinal damage with intestinal biomarkers in calves with atresia coli. Material and Methods: The study was conducted on 40 Holstein calves diagnosed with atresia coli with mild to moderate abdominal distention and 10 healthy Holstein calves which served as the control...
September 2018: Journal of Veterinary Research
Gabriel Alexandru Popescu, Tivadar Bara, Paul Rad
Abdominal Compartment Syndrome (ACS), despite recent advances in medical and surgical care, is a significant cause of mortality. The purpose of this review is to present the main diagnostic and therapeutic aspects from the anesthetical and surgical points of view. Intra-abdominal hypertension may be diagnosed by measuring intra-abdominal pressure and indirectly by imaging and radiological means. Early detection of ACS is a key element in the ACS therapy. Without treatment, more than 90% of cases lead to death and according with the last reports, despite all treatment measures, the mortality rate is reported as being between 25 and 75%...
October 2018: The journal of critical care medicine
Paula Ferrada, Luke Wolfe, Juan Duchesne, Gustavo P Fraga, Elizabeth Benjamin, Agustin Alvarez, Andre Campbell, Christopher Wybourn, Alberto García, Carlos Morales, Julieta Correa, Bruno M Pereira, Marcelo Ribeiro, Martha Quiodettis, Gregory Peck, Juan C Salamea, Vitor F Kruger, Rao Ivatury, Thomas Scalea
INTRODUCTION: The operative management of duodenal trauma remains controversial. Our hypothesis is that a simplified operative approach could lead to better outcomes. METHODS: We conducted an international multicenter study, involving thirteen centers. We performed a retrospective review from January 2007 to December of 2016. Data on demographics, mechanism of trauma, blood loss, operative time, and associated injured organs were collected. Outcomes included post-operative intra-abdominal sepsis, leak, need for unplanned surgery, length of stay, renal failure and mortality...
December 6, 2018: Journal of Trauma and Acute Care Surgery
Nawaf Jaber Shatnawi, Muhammad Rushdi Khammash, Abdelkarim Hussein Omari
INTRODUCTION: Sacrococcygealteratoma is very rare in adults with only few cases reported in literature. It is a slow growing benign cystic tumor with 1-2% chance for malignant transformation and may attain a huge size causing pressure effect on pelvic and intra-abdominal organs. When grows caudally, it causes discomfort, skin excoriation and cosmetic disfigurement. PRESENTATION OF CASE: We present a giant, long standing Sacrococcygeal teratoma in an adult female patient which caused her significant obstructing lower gastrointestinal and urinary symptoms besides the discomfort and disfigurement of the sacral region...
November 22, 2018: International Journal of Surgery Case Reports
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