Intragastric pressure: Useful indicator in the management of congenital diaphragmatic hernia

Aims: To assess the role of measuring of intragastric pressure (IGP) during closure of congenital diaphragmatic hernia. Materials and Methods: Thirty-two cases were included in the study (August 2008 to February 2014), and IGP has been measured intraoperatively during closure. Result: Patients were...

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Bibliographic Details
Published in:Journal of Indian Association of Pediatric Surgeons 2016-10, Vol.21 (4), p.175-177
Main Authors: Mandal, Kartik, Halder, Pankaj, Barman, Shibsankar, Kumar, Rajarshi, Mukhopadhyay, Biswanath, Shukla, Ram
Format: Article
Language:English
Subjects:
Diaphragmatic hernia
Genetic disorders
Original
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Summary:Aims: To assess the role of measuring of intragastric pressure (IGP) during closure of congenital diaphragmatic hernia. Materials and Methods: Thirty-two cases were included in the study (August 2008 to February 2014), and IGP has been measured intraoperatively during closure. Result: Patients were categorized in group A (15 patients), group B (14 patients) and group C (3 patients). In group C, IGP was more than 30 cm of water pressure and all of tehm required creation of ventral hernia and ventilator support. Conclusion: Measurement of IGP as an objective, noninvasive and simple method to evaluate intra-abdominal pressure and prevention of abdominal compartment syndrome and intraoperative IGP value determines the types of abdominal closure.
ISSN:0971-9261
1998-3891
DOI:10.4103/0971-9261.186547