Acta clinica Croatica, Vol. 49 No. 4, 2010.
Original scientific paper
Changes in Intra-Adbominal, Iliac Venous and Central Venous Pressures in Patients Undergoing Abdominal Surgery Due to Large Tumors of the Colon – A Pilot Study
Jacek Pilat
Wojciech Dabrowski
Jadwiga Biernacka
Jacek Bicki
Slawomir Rudzki
Abstract
Changes in intra-abdominal pressure during bowel tumor surgery have not been documented. The purpose of the present study was to analyze changes in intra-abdominal pressure (IAP), central venous pressure (CVP) and iliac venous pressure (IVP) in patients undergoing laparotomy due to large tumor of the bowel. Twenty-one adult patients undergoing elective abdominal surgery were examined. Intra-abdominal pressure, CVP and IVP were measured during anesthesia, surgery and early postoperative period. The mean IAP before anesthesia was 12.76±1.09 mm Hg and mean bowel tumor volume 1550±227.48 mL. Anesthesia induction decreased IAP to 10.52±1.32 mm Hg and excision of intra-peritoneal tumors to 5.24±1.51 mm Hg (49.7%). Ten minutes after anesthesia, IAP increased to 7.47±1.2 mm Hg and one hour after surgery decreased to 6.19±1.43 mm Hg. There was a strong overall correlation between IAP and CVP (P=0.0000; r=0.7779), as well as between IAP and IVP (P=0.0000; r=0.8635). Moreover, IAP correlated with IVP immediately after anesthesia and one hour after anesthesia. In conclusion, induction of anesthesia decreased IAP; excision of large bowel tumors decreased IAP; and IAP strongly correlated with CVP and IVP.
Keywords
Abdomen; Abdominal cavity – blood supply; Abdominal cavity – physiopathology; Pressure; Laparotomy – complications; Hypertension – physiopathology; Colonic neoplasms – surgery
Hrčak ID:
84781
URI
Publication date:
20.12.2010.
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