Background: Abdominal compartment syndrome (ACS), a serious complication of organ failure, which is caused by acute and persistent increase of intra-abdominal pressure (IAP). Ascites is often ignored as a rare complication of unilateral biportal endoscopic (UBE) surgery. However, intra-abdominal hypertension (IAH) caused by massive ascites can lead to multiple organ dysfunction, which leads to the occurrence of ACS with a very high mortality rate. Case Presentation: In this case, the patient was a 74-year-old man who underwent UBE decompression for severe lumbar disc herniation. During the surgery, the airway pressure and stroke volume variation (SVV) were incerased gradually. when increasing saline pressure. Subsequently, the patient was diagnosed with ACS and treated with emergency diuretics and performing ultrasound-guided abdominal paracentesis to reduce abdominal pressure. After emergency treatment, the patient's IAH symptom was significantly relieved and his airway pressure and hemodynamics was rapidly improved. Conclusion: The possibility of ACS should be considered in the presence of persistently elevated airway pressure during UBE surgery. Without early diagnosis and timely management, ACS would have a high mortality rate. Considering the severity of ACS during surgery, we recommend taking measures to monitor intra-abdominal pressure during UBE surgery.
| Published in | Journal of Surgery (Volume 11, Issue 6) |
| DOI | 10.11648/j.js.20231106.12 |
| Page(s) | 132-135 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Unilateral Biportal Endoscopy, Abdominal Compartment Syndrome, Lumbar Disc Herniation, Ascites
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APA Style
Luo, W., Ye, D. (2023). Abdominal Compartment Syndrome During Unilateral Biportal Endoscopic Spinal Surgery: A Case Report. Journal of Surgery, 11(6), 132-135. https://doi.org/10.11648/j.js.20231106.12
ACS Style
Luo, W.; Ye, D. Abdominal Compartment Syndrome During Unilateral Biportal Endoscopic Spinal Surgery: A Case Report. J. Surg. 2023, 11(6), 132-135. doi: 10.11648/j.js.20231106.12
AMA Style
Luo W, Ye D. Abdominal Compartment Syndrome During Unilateral Biportal Endoscopic Spinal Surgery: A Case Report. J Surg. 2023;11(6):132-135. doi: 10.11648/j.js.20231106.12
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Download@article{10.11648/j.js.20231106.12,
author = {Wei Luo and Dongping Ye},
title = {Abdominal Compartment Syndrome During Unilateral Biportal Endoscopic Spinal Surgery: A Case Report},
journal = {Journal of Surgery},
volume = {11},
number = {6},
pages = {132-135},
doi = {10.11648/j.js.20231106.12},
url = {https://doi.org/10.11648/j.js.20231106.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20231106.12},
abstract = {Background: Abdominal compartment syndrome (ACS), a serious complication of organ failure, which is caused by acute and persistent increase of intra-abdominal pressure (IAP). Ascites is often ignored as a rare complication of unilateral biportal endoscopic (UBE) surgery. However, intra-abdominal hypertension (IAH) caused by massive ascites can lead to multiple organ dysfunction, which leads to the occurrence of ACS with a very high mortality rate. Case Presentation: In this case, the patient was a 74-year-old man who underwent UBE decompression for severe lumbar disc herniation. During the surgery, the airway pressure and stroke volume variation (SVV) were incerased gradually. when increasing saline pressure. Subsequently, the patient was diagnosed with ACS and treated with emergency diuretics and performing ultrasound-guided abdominal paracentesis to reduce abdominal pressure. After emergency treatment, the patient's IAH symptom was significantly relieved and his airway pressure and hemodynamics was rapidly improved. Conclusion: The possibility of ACS should be considered in the presence of persistently elevated airway pressure during UBE surgery. Without early diagnosis and timely management, ACS would have a high mortality rate. Considering the severity of ACS during surgery, we recommend taking measures to monitor intra-abdominal pressure during UBE surgery.
},
year = {2023}
}
TY - JOUR T1 - Abdominal Compartment Syndrome During Unilateral Biportal Endoscopic Spinal Surgery: A Case Report AU - Wei Luo AU - Dongping Ye Y1 - 2023/11/24 PY - 2023 N1 - https://doi.org/10.11648/j.js.20231106.12 DO - 10.11648/j.js.20231106.12 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 132 EP - 135 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20231106.12 AB - Background: Abdominal compartment syndrome (ACS), a serious complication of organ failure, which is caused by acute and persistent increase of intra-abdominal pressure (IAP). Ascites is often ignored as a rare complication of unilateral biportal endoscopic (UBE) surgery. However, intra-abdominal hypertension (IAH) caused by massive ascites can lead to multiple organ dysfunction, which leads to the occurrence of ACS with a very high mortality rate. Case Presentation: In this case, the patient was a 74-year-old man who underwent UBE decompression for severe lumbar disc herniation. During the surgery, the airway pressure and stroke volume variation (SVV) were incerased gradually. when increasing saline pressure. Subsequently, the patient was diagnosed with ACS and treated with emergency diuretics and performing ultrasound-guided abdominal paracentesis to reduce abdominal pressure. After emergency treatment, the patient's IAH symptom was significantly relieved and his airway pressure and hemodynamics was rapidly improved. Conclusion: The possibility of ACS should be considered in the presence of persistently elevated airway pressure during UBE surgery. Without early diagnosis and timely management, ACS would have a high mortality rate. Considering the severity of ACS during surgery, we recommend taking measures to monitor intra-abdominal pressure during UBE surgery. VL - 11 IS - 6 ER -
Department of Orthopedics, Guangzhou Red Cross Hospital, Jinan University, Guangzhou, China
Department of Orthopedics, Guangzhou Red Cross Hospital, Jinan University, Guangzhou, China
