The value of intra-abdominal pressure indicators in the assessment of the severity of patients with peritonitis

About authors

1 Department of Surgical Diseases No. 1, Pediatric Faculty,
Pirogov Russian National Research Medical University, Moscow, Russia

2 City Clinical Hospital № 51, Moscow, Russia

3 Clinical Hospital of the Department for Presidential Affairs of the Russian Federation, Moscow, Russia

Correspondence should be addressed: Mihail Tsitsiashvili
ul. 11-ya Parkovaya, d. 32, korp. 3, Moscow, Russia, 105077; ur.liam@75chsm

Received: 2012-06-05 Accepted: 2012-09-19 Published online: 2017-01-05

In this research we analyzed the changes in intra-abdominal pressure in 38 patients with local (17 patients) and generalized peritonitis (21 patients). The study found significantly higher intra-abdominal pressure in patients with advanced peritonitis than in patients with local peritonitis. In 53 % of patients with local peritonitis intra-abdominal pressure was not observed, and 47 % of patients had its I degree. In the group of generalized peritonitis all patients had intra-abdominal hypertension: I degree was observed in 17.4 % of patients, II degree — in 65.2 %, III degree — in 8.7 % and IV degree — in 8.7 % of patients.

Keywords: intra-abdominal pressure, intra-abdominal hypertension, peritonitis