Why are intra-abdominal pressure measurements important in neonates with abdominal wall hernias?

Updated: Jul 23, 2019
  • Author: Assar A Rather, MBBS, MD, FACS; Chief Editor: John Geibel, MD, DSc, MSc, AGAF  more...
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Answer

Intra-abdominal pressure measurements help prevent intra-abdominal compartment syndrome. Excessively high pressures mandate immediate conversion to a Silon chimney sutured to the skin or the fascial rim (see the image below). The gradual reduction of liver and intestine represents an improvement over previous methods, and most pediatric surgeons use this technique. Fascial and skin closure occurs after complete reduction of contents into the abdomen, which usually occurs over 3-7 days.

Infant with Silon chimney placed in treatment of g Infant with Silon chimney placed in treatment of gastroschisis.

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