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Medicina Legal de Costa Rica

On-line version ISSN 2215-5287Print version ISSN 1409-0015


SOTO MONTERO, Gloriana. Síndrome compartimental abdominal en el contexto de ruptura de aorta abdominal: posibles factores de manejo terapéutico que aumenten incidencia de este síndrome. Med. leg. Costa Rica [online]. 2016, vol.33, n.1, pp.154-163. ISSN 2215-5287.

Abdominal compartment syndrome (ACS) happens when the intra-abdominal pressure maintains above 20 mmHg with new organ failure. This syndrome has primary abdominal pelvic causes or secondary causes. One of the primary etiologies can be the presence of an abdominal aorta aneurysm, its rupture and complications such as retroperitoneal hematoma. It has been discussed about the advantage of endovascular repair (EVAR) in patients with rupture of abdominal aorta aneurysm (RAAA) vs open repair (OR), reducing mortality and complications after surgery. About de secondary etiologies of ACS, these have been linked with perioperative treatment of patients with RAAA. It has been stablished that the right monitoring and treatment of the patient in the pre, trans and postoperative time, regardless of the surgery technique, has a better influence diminishing the incidence of SCA.

Keywords : Abdominal compartment syndrome; intraabdominal hypertension; rupture of abdominal aorta aneurysm; endovascular repair; open repair, laparotomy..

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