A prospective analysis of intra-abdominal pressures and outcome in patients undergoing emergency laparotomies

Abstract

Background: As many studies have been done upon IAP and its outcome on the patients that Intra-Abdominal Hypertension (IAH) leaves an impact on every organ. In recent times it is strangely under diagnosed. Although IAP is an independent predictor in measuring the morbidity and mortality. Aim and Objectives: To evaluate changes in various clinical parameters due to increasing Intra-abdominal Pressure and also to evaluate the Morbidity and Mortality in patients who develop abnormal Intra-Abdominal Pressure Methodology: The present study was a prospective analysis of IAP in patients presenting to surgical emergency of Mahavir Institute of Medical Sciences, Shivareddypet, Vikarabad, Ranga Reddy -Telangana, India.over a period of 1year from December 2019 to December 2020. A total number of 40 patients were assessed with regards to their clinical diagnosis, vital parameters al presentation, IAP and the morbidity and mortality. The SEDREK’S Technique of IAP measurement was used to determine the IAP. In this method, the Foleys catheter is marked as ‘0’, few mm proximal to the Y-junction, which serves as the zero reference point when it is at the level of symphysis pubis.The drainage tubing is marked at an increment of 1 cm on the tape, starting from the mark on the foley’s catheter as ‘0’. Next introduce 50 to 100 ml of sterile saline into the bladder. After reconnecting the Foley’s catheter to the drainage tubing, the zero reference point is kept at the level of pubic symphysis and the drainage tubing is raised vertically. Result and Conclusion: IAP was found to be a significant predictor of mortality in patients undergoing laparotomy (P