Intraabdominal hypertension and abdominal compression syndrome during laparoscopic operations
https://doi.org/10.17238/2072-3180-2025-3-198-207
Abstract
Abdominal compartment syndrome (ACS) occurs with a persistent increase in intra-abdominal pressure above 20 mmHg and is associated with organ failure. The prevalence of SAH varies from 2 to 36,4 %. An analysis of the literature data over the past 5 years has been carried out to present a modern concept, classification and integrated approach to the treatment and prevention of severe complications of SAH, including using photodynamic therapy (PDT). The treatment is based on the evacuation of intraluminal contents, detection and treatment of intra-abdominal pathology, improvement of the elastic properties of the anterior abdominal wall and optimal injection of fluids and tissue perfusion. Today, PDT is undoubtedly effective in the treatment of many surgical diseases due to its anti-inflammatory, regenerative, desensitizing, and immunocorrective properties inherent in laser treatment. Thus, the key point in the treatment of ACS is the need for an interdisciplinary focus for intensive care and early rehabilitation of patients. In this regard, the search, definition and implementation of strategies to optimize the care of this category of patients is relevant. ACS should be treated before complications occur, and the introduction of a comprehensive method of preparing patients for surgical treatment during laparoscopic operations using PDT sessions is relevant, especially in elderly and senile patients with a number of concomitant diseases, impaired organ function and systems.
About the Authors
G. S. Mikhailyants
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Department of Health ; FGBOU DPO "Russian Medical Academy of Continuing Professional Education" of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Mikhailyants Georgy Sergeevich – Dr. Sci. (Med.), Professor
2/1 Barrikadnaya str., building 1, Moscow, 125993
O. N. Antonov
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Department of Health ; The Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Antonov Oleg Nikolaevich – Dr. Sci. (Med.), Professor
Scopus ID: 59268824700
8 Trubetskaya str., building 2, Moscow, 119991
A. A. Karpov
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Department of Health
Russian Federation
Russian Federation
Karpov Alexey Andreevich – Dr. Sci. (Med.), Deputy Chief Physician for Surgery
125284, Moscow, 2 Botkinsky passage, house 5
P. A. Drozdov
Moscow Multidisciplinary Scientific and Clinical Center named after S.P. Botkin of the Moscow City Department of Health
Russian Federation
Russian Federation
Drozdov Pavel Alexeevich – Dr. Sci. (Med.), Deputy Director
125284, Moscow, 2 Botkinsky passage, house 5
V. A. Derbenev
FGBU "Scientific and Practical Center of Laser Medicine named after O.K. Skobelkin" FMBA of Russia
Russian Federation
Russian Federation
Derbenev Valentin Arkadievich – Chief Researcher
121165, Moscow, Studencheskaya Street, 40, building 1
I. L. Denisov
FGBU "Scientific and Practical Center of Laser Medicine named after O.K. Skobelkin" FMBA of Russia
Russian Federation
Russian Federation
Denisov Ilya Leonidovich – PhD candidate
121165, Moscow, Studencheskaya Street, 40, building 1
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Review
For citations:
Mikhailyants G.S., Antonov O.N., Karpov A.A., Drozdov P.A., Derbenev V.A., Denisov I.L. Intraabdominal hypertension and abdominal compression syndrome during laparoscopic operations. Moscow Surgical Journal. 2025;(3):198-207. (In Russ.) https://doi.org/10.17238/2072-3180-2025-3-198-207
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