2014
DOI: 10.1016/j.bjane.2013.03.012
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Abstract: Inferior venacaval compression is a common problem in late pregnancy. It can also occur due to compression of inferior venacava by abdominal or pelvic tumors. We report a case of acute iatrogenic inferior venacaval compression due to excessive abdominal packing during an intraabdominal surgery.

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“…If the packs are insufficiently compressive, there is a risk of persistent bleeding and thus failure. If, on the other hand, the pressure applied is too great, there is an increased risk of abdominal compartment syndrome, which has been extensively described after abdominal packing [ 20 25 ] and is defined by prolonged increase in intra-abdominal pressure above 20 mmHg, with onset of organ failure requiring abdominal decompression. In our series, intra-abdominal pressure was not measured in any woman following surgery, but no woman had suggestive symptoms of abdominal compartment syndrome.…”
Section: Discussionmentioning
confidence: 99%
“…If the packs are insufficiently compressive, there is a risk of persistent bleeding and thus failure. If, on the other hand, the pressure applied is too great, there is an increased risk of abdominal compartment syndrome, which has been extensively described after abdominal packing [ 20 25 ] and is defined by prolonged increase in intra-abdominal pressure above 20 mmHg, with onset of organ failure requiring abdominal decompression. In our series, intra-abdominal pressure was not measured in any woman following surgery, but no woman had suggestive symptoms of abdominal compartment syndrome.…”
Section: Discussionmentioning
confidence: 99%
“…However, the success rate of classic packing would be low in “near miss” patients who are referred in a complicated condition like in our patients. Besides that, Compartment syndrome, which is commonly mentioned in the literature when intra-abdominal pressure exceeds the limit of 20 mm Hg, may develop and this is a serious complication that requires relaparotomy ( 17 , 18 ) . In our method, both abdominal fascial layers are not closed and decompression can be provided by releasing the distal tip of the Bakri balloon or by lowering the volume of the balloon when compartment syndrome develops.…”
Section: Discussionmentioning
confidence: 99%