What is the recommended surgical treatment for abdominal compartment syndrome?

The recommended surgical treatment for abdominal compartment syndrome is laparotomy or laparostomy, which involves making a large incision in the abdominal wall to relieve pressure within the abdomen. This condition occurs when there is increased intra-abdominal pressure that can lead to organ dysfunction due to compromised blood flow and function.

Laparotomy allows for direct access to the abdominal cavity, enabling the surgeon to evaluate and address any underlying causes of the increased pressure, whether it be fluid accumulation, bleeding, or other factors contributing to the syndrome. This procedure not only decompresses the abdomen but also allows for necessary interventions, such as addressing any hematomas, repairing visceral injuries, or placing drains to manage fluid collections.

Laparoscopy is less effective for managing this serious condition because it does not provide the broad exposure necessary to fully relieve the pressure or treat any associated complications adequately. Draining of fluid could be part of the management plan if fluid accumulation is specifically identified, but it typically does not address the root cause of compartment syndrome by itself. Open suction drainage may be used in certain contexts but is not appropriate as a standalone treatment for the syndrome, as it does not provide the necessary decompression and evaluation afforded by an open laparotomy.

Thus, laparotomy or laparostomy is