| Revista: | Revista mexicana de anestesiología |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000354554 |
| ISSN: | 0185-1012 |
| Autors: | Niño de Mejía, María Claudia1 Chaves, Alexandra Raffan Sanabria, Fernando1 Caicedo, María Virginia2 Suárez, Ana María1 Díaz, Juan Carlos1 |
| Institucions: | 1Fundación Santa Fe de Bogotá, Hospital Universitario, Bogotá. Colombia 2Instituto Nacional de Cancerología, Bogotá. Colombia |
| Any: | 2012 |
| Període: | Ene-Mar |
| Volum: | 35 |
| Número: | 1 |
| Paginació: | 20-25 |
| País: | México |
| Idioma: | Español |
| Tipo de documento: | Artículo |
| Enfoque: | Experimental |
| Resumen en español | provoca un aumento signifi cativamente más importante, siendo más notorio en las pacientes con IMC -25, convirtiéndolas en un grupo de riesgo para presentar HIA. Se requieren ensayos clínicos aleatorizados y controlados para dar mayor soporte a la evidencia de este estudio, pero al cabo de estas observaciones en el aumento de la PIA, la faja cayó en desuso en nuestra institución, por lo cual es difícil y cuestionable repetir un estudio donde se incluya esta práctica |
| Resumen en inglés | Intraabdominal pressure (IAP) rises when the abdominal contents increase, with consequences that could be clinically significant. However, this could also occur when the size of the abdominal wall is reduced and restrained, which occurs in patients subject to abdominal plastic surgery with subsequent placement of a girdle, a situation that has not yet been well studied. This study demonstrated the behavior of the IAP in 13 patients that used a girdle in the postoperative period of abdominal plastic surgery to determine the possible variables that affect its elevation and the group of patients with great risk of complications. Methods: Four measurements of intraabdominal pressure were made (basal, post-plication of the abdominal rectus, post-placement of the girdle and on the fi rst postoperative hour). Information about vital signs, population data and type of girdle was collected. Analysis of data and differences between the 4 times for all patients was done using non-parametric statistics, two-factor analysis of variance by Friedman ranks and multiple comparisons. Results: We included 13 women with an average age of 38 years who underwent the liposuction and/or lipectomy, in which girdle was used in the postoperative period. All IAP values were normal at baseline. However, there was a slight increase after plication and a signifi cant increase with use of a girdle and after 1 hour postoperatively. This increase was greater in patients with body mass index (BMI) 25. There were no signifi cant hemodynamic changes in abdominal perfusion pressure or glomerular fi ltration gradient, nor an association with the type of girdle used. Discussion: The increase in IAP by the procedure, which is expected, is below the fi gures for intra-abdominal hypertension (IAH), but the girdle causes a signifi cantly greater increase, being more noticeable in patients with BMI 25, making them a risk group to present HIA. Randomized controlled trials are required.. |
| Disciplines | Medicina |
| Paraules clau: | Cirugía, Hipertensión intraabdominal, Presión intraabdominal, Lipectomía, Liposucción, Anestesia, Cirugía plástica |
| Keyword: | Medicine, Surgery, Intraabdominal hypertension, Intraabdominal pressure, Lipectomy, Liposuction, Anesthesia, Plastic surgery |
| Text complet: | Texto completo (Ver PDF) |
