Review Article
Abdominal Compartment Syndrome: Risk Factors, Diagnosis, and Current Therapy
Table 1
Common surgical options for ACS management.
| Initial management of ACS | |
| Minimally invasive | | Percutaneous aspiration | | Colonoscopic decompression of colonic distension | | Invasive | | Initial or relaparotomy | |
| Open abdomen management (short-term; able to close primarily) | |
| Vacuum assisted closure (proprietary of home-made) | | Hook and Loop closure device | |
| Open abdomen management (long-term; unable to close primarily) | |
| Polyglycolic acid mesh and split-thickness skin graft (STSG) | | STSG without underlying absorbable mesh | | Component separation of parts with biologic mesh underlay (rare) | | Fascial relaxing incisions with spanning mesh (prosthetic or biologic) | | *Caution: biologic may relax and gap when placed in spanning position | |
| Reconstruction | |
| Component separation of parts with biologic mesh underlay (common) | | Primary closure + fascial relaxing incisions + biologic mesh underlay (less common) | | Free muscle flap + biologic mesh underlay (rare) | |
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