INTRA-ABDOMINAL HYPERTENSION AND METHODS OF ITS PREVENTION IN ACUTE ADHESIVE BOWEL OBSTRUCTION

Adhesive process of the peritoneum is considered a natural peritoneal response to the absolute majority of surgical interventions on the abdominal cavity and pelvic organs. The most serious complication of the adhesive process of the peritoneum is the variant of adhesive bowel obstruction developing in 40% of all forms of ileus. The delay in treatment is invariably accompanied by an increase in endogenous intoxication, intra-abdominal hypertension, and intestinal dysfunction, which contributes to the development and progression of the multiple organ dysfunction syndrome. When studying the pathogenesis of development and the course of adhesive ileus, it is necessary to distinguish the syndrome of intra-abdominal hypertension as one of the key factors in the development of multiple organ failure. There is a direct relationship between the timely diagnosis of acute bowel obstruction, the shortest resolution of paresis and the restoration of the natural passage with a reduction in the incidence of complications (including postoperative) and mortality in this pathology. Determination of the degree of intra-abdominal hypertension and monitoring of the parameters of intra-abdominal pressure in patients with acute bowel obstruction provides timely application of the necessary spectrum of therapeutic measures, including the proper volume of surgical intervention.

adhesive bowel obstruction, intra-abdominal hypertension, multiple organ dysfunction syndrome