Skip to main content
Article thumbnail
Location of Repository

Surgical management of abdominal compartment syndrome; indications and techniques

By Ari Leppäniemi


The indications for surgical decompression of abdominal compartment syndrome (ACS) are not clearly defined, but undoubtedly some patients benefit from it. In patients without recent abdominal incisions, it can be achieved with full-thickness laparostomy (either midline, or transverse subcostal) or through a subcutaneous linea alba fasciotomy. In spite of the improvement in physiological variables and significant decrease in IAP, however, the effects of surgical decompression on organ function and outcome are less clear. Because of the significant morbidity associated with surgical decompression and the management of the ensuing open abdomen, more research is needed to better define the appropriate indications and techniques for surgical intervention

Topics: Review
Publisher: BioMed Central
OAI identifier:
Provided by: PubMed Central

Suggested articles


  1. (2005). A: Early definitive closure of the open abdomen: a quiet revolution.
  2. (2006). A: Results from International Conference of Experts on intra-abdominal hypertension and abdominal compartment syndrome. I. Definitions. Intensive Care Med
  3. (2007). A: Results from International Conference of Experts on intra-abdominal hypertension and abdominal compartment syndrome. II. Recommendations. Intensive Care Med
  4. (2007). Barker JH: Abdominal wall reconstruction in a trauma setting. Eur J Trauma Emerg Surg
  5. (1990). Components separation method for closure of abdominal-wall defects: and anatomic and clinical study. Plast Reconstr Surg
  6. (2008). E: Transverse laparostomy is feasible and effective in the treatment of abdominal compartment syndrome in severe acute pancreatitis. World J Emerg Surg
  7. (2006). E: Treatment of abdominal compartment syndrome with subcutaneous anterior abdominal fasciotomy in severe acute pancreatitis. World J Surg
  8. (2001). FA: Vacuum-assisted wound closure provides early fascial reapproximation in trauma patients with open abdomens.
  9. (1999). Howdieshell TR: The tensor fascia lata free flap in staged abdominal wall reconstruction after traumatic evisceration.
  10. (2006). Malbrain ML: Decompressive laparotomy for abdominal compartment syndrome – a critical analysis. Crit Care
  11. (2007). Malbrain MLNG: ICU management of the patient with intra-abdominal hypertension: what to do, when and to whom? Acta Clin Belg Suppl
  12. (2008). Open abdomen after severe acute pancreatitis.
  13. (1995). RP: Temporary closure of open abdominal wounds: the vacuum pack. Am Surg
  14. (2001). SL: Abdominal wall defects and enterocutaneous fistula treatment with the Vacuum Assisted Closure (V.A.C.) system. Plast Reconstr Surg
  15. (2007). Small bowel fistulas and the open abdomen.
  16. (2008). Subcutaneous linea alba fasciotomy: a less morbid treatment for abdominal compartment syndrome. Am Surg
  17. (2008). The hostile abdomen – a systematic approach to a complex problem.
  18. (2007). Vacuum-assisted wound closure and mesh-mediated fascial traction – a novel technique for late closure of the open abdomen. World J Surg

To submit an update or takedown request for this paper, please submit an Update/Correction/Removal Request.