Use of a fascial prosthesis for management of abdominal compartment syndrome secondary to obstetric hemorrhage.

Academic Article

Abstract

  • BACKGROUND: Massive obstetric hemorrhage can be catastrophic, with considerable maternal morbidity and mortality. CASE: A 41-year-old term gravida experienced massive postpartum hemorrhage attributed to an amniotic fluid embolism with rapid development of disseminated intravascular coagulation and resultant abdominal compartment syndrome. In this critically ill patient, a fascial prosthesis used for abdominal wall closure was placed to expedite multiple abdominal explorations and packing. Additionally, this device facilitated fascial closure once the abdominal compartment syndrome was resolved. CONCLUSION: Abdominal compartment syndrome resulting from overwhelming obstetric hemorrhage may necessitate emergent decompressive laparotomy to alleviate increased intra-abdominal pressure and end-organ dysfunction. The fascial prosthesis allows a staged abdominal wall closure to be performed once the abdominal compartment syndrome is resolved.
  • Published In

    Keywords

  • Abdomen, Adult, Cesarean Section, Compartment Syndromes, Fasciotomy, Female, Humans, Postpartum Hemorrhage, Pregnancy, Prostheses and Implants
  • Digital Object Identifier (doi)

    Author List

  • Kendrick JE; Leath CA; Melton SM; Straughn JM
  • Start Page

  • 493
  • End Page

  • 496
  • Volume

  • 107
  • Issue

  • 2 Pt 2