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《Chapter 19 – The Difficult Abdominal Wall》由会员上传分享，免费在线阅读，更多相关内容在学术论文-天天文库。
1、CHAPTER19THEDIFFICULTABDOMINALWALLJoseJ.Diaz,WilliamD.Dutton,andRichardS.Millerwithin8days.Complicationsincreaseexponentiallyafterthisacutepresentationpoint,includingintra-abdominalabscessandformationofintes-temporaryabdominalclosure6tinalfistulas,whichcanincreaseto25%to45%.However,theabdo
2、minalclosureorplannedventralhernia?riskofdevelopingintra-abdominalhypertensionorabdominalelectiveplannedventralherniarepaircompartmentsyndrome,ongoinginflammatoryresponsesyn-summarydrome,lackofsourcecontrol,and/orintra-abdominalabscessorintestinalfistulamaybereasonenoughtodelayprimaryclosu
3、reoftheabdominalfascia(Box19-1).ACUTEPRESENTATIONIntra-AbdominalHypertensionorAbdominalDefinitionsandManagementCompartmentSyndromeComplicatingThefinalstepinalaparotomyisabdominalfacialclosure.theDifficultAbdominalWallUsually,thefasciaandtheskinareclosedprimarily.However,Oncereexplorationan
4、dstagedabdominalreconstructionhaveasmedicinehasadvanced,surgeonshavehadtotreatsickerbeencompleted,thenextgoalistoclosetheabdomenwiththepatientswithahigherburdenofadvancedcomorbiddisease.Inleastamountofphysiologicstress.Intra-abdominalhyperten-thetraumasetting,theclinicalsuccessofnonoperati
5、vemanage-sionisknowntocauseischemiatothevisceraandabdominalmentofsolidorganinjurieshasreducedthetotalnumberofwall,whichcanprogresstoabdominalcompartmentsyndromeoperativecases.However,traumapatientsrequiringoperationwithorgandysfunction.In2004,theWorldCongressofareoftenattheirphysiologiclim
6、its.TechniquesindamageAbdominalCompartmentSyndromemettodevelopconsensuscontrolhavebecomeessentialadjunctsintrauma,general,anddefinitionsforintra-abdominalhypertensionandabdominal7,8vascularsurgery.compartmentsyndrome.Theseconsensusdefinitionsareused1,2StoneandLucasandcolleaguesinthe1980san
7、dRotondotodefineintra-abdominalhypertensionandprimary,secondary,3,4andMorrisandassociatesinthe1990sdefinedtheprimaryandrecurrentabdominalcompartmentsyndrome.TheWorldgoalsofdamagecontrolsurgeryinthetraumapatient,whichCongressofAbdominalCompartmentSyndromedefini
