{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:48:36Z","timestamp":1648601316986},"reference-count":11,"publisher":"Akademiai Kiado Zrt.","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2014,10,1]]},"abstract":"<jats:p>Magyarorsz\u00e1gon els\u0151k\u00e9nt k\u00f6z\u00f6lj\u00fck eset\u00fcnket, amelyben sikerrel alkalmaztunk nyitott hasi \u00e9s VAC- (v\u00e1kuumassziszt\u00e1lt sebz\u00e1r\u00e1s) kezel\u00e9st aortaaneurysma-ruptura miatt kialakul\u00f3 hasi compartmentsyndroma megel\u0151z\u00e9sek\u00e9nt. Esetismertet\u00e9s: Az 59 \u00e9ves n\u0151beteg acutan ker\u00fclt felv\u00e9telre klinik\u00e1nkra, akin\u00e9l az angio-CT-vizsg\u00e1lat fedett hasi aortaaneurysma-ruptur\u00e1t igazolt. Az acut laparotomi\u00e1b\u00f3l v\u00e9gzett aortoaorticus Dacron graft interpositi\u00f3j\u00e1t k\u00f6vet\u0151en, a has z\u00e1r\u00e1sakor a beteg l\u00e9legeztethetetlenn\u00e9 v\u00e1lt a v\u00e9kony- \u00e9s vastagb\u00e9l hossz\u00fa szakasz\u00e1t \u00e9rint\u0151 oedem\u00e1ja \u00e9s a retroperitonealis v\u00e9rgy\u00fclem okozta megemelkedett has\u0171ri nyom\u00e1s miatt. Ez\u00e9rt nyitott hasi kezel\u00e9s \u00e9s VAC-ter\u00e1pia mellett d\u00f6nt\u00f6tt\u00fcnk. Az ism\u00e9telt k\u00f6t\u00e9scser\u00e9ket k\u00f6vet\u0151en a has halasztott z\u00e1r\u00e1sa DualMesh h\u00e1l\u00f3val t\u00f6rt\u00e9nt, h\u00e1rom h\u00e9ttel k\u00e9s\u0151bb a beteg otthon\u00e1ba t\u00e1vozott. Megbesz\u00e9l\u00e9s: Eset\u00fcnkben a nagyfok\u00fa oedema \u00e9s a retroperitonealis haematoma miatt a fedett hasi aortaaneurysma-ruptura m\u0171t\u00e9ti megold\u00e1s\u00e1t k\u00f6vet\u0151en a has z\u00e1r\u00e1sa m\u00e1r nem volt kivitelezhet\u0151. Az intraabdominalis nyom\u00e1sfokoz\u00f3d\u00e1s sz\u00f6v\u0151dm\u00e9nyei megakad\u00e1lyozhat\u00f3k voltak a nyitott hasi kezel\u00e9snek k\u00f6sz\u00f6nhet\u0151en. Eset\u00fcnk tapasztalata \u00e9s a szakirodalom aj\u00e1nl\u00e1sa alapj\u00e1n javasoljuk a nyitott hasi kezel\u00e9st VAC-rendszerrel kombin\u00e1lva hasi compartmentsyndroma eset\u00e9n.<\/jats:p>","DOI":"10.1556\/maseb.67.2014.5.4","type":"journal-article","created":{"date-parts":[[2014,10,20]],"date-time":"2014-10-20T01:01:08Z","timestamp":1413766868000},"page":"308-3011","source":"Crossref","is-referenced-by-count":0,"title":["Open treatment of abdominal compartment syndrome after contained aortic aneurysm rupture"],"prefix":"10.1556","volume":"67","author":[{"given":"Zsuzsanna","family":"Mih\u00e1ly","sequence":"first","affiliation":[{"name":"1 Semmelweis Egyetem \u00c9rseb\u00e9szeti Tansz\u00e9k 1124 Budapest V\u00e1rosmajor u. 68."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Krist\u00f3f","family":"Perczel","sequence":"additional","affiliation":[{"name":"2 Semmelweis Egyetem Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Klinika Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gergely","family":"Csik\u00f3s","sequence":"additional","affiliation":[{"name":"2 Semmelweis Egyetem Aneszteziol\u00f3giai \u00e9s Intenz\u00edv Ter\u00e1pi\u00e1s Klinika Budapest"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zolt\u00e1n","family":"Szeberin","sequence":"additional","affiliation":[{"name":"1 Semmelweis Egyetem \u00c9rseb\u00e9szeti Tansz\u00e9k 1124 Budapest V\u00e1rosmajor u. 68."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"425","reference":[{"key":"1","doi-asserted-by":"crossref","first-page":"1190","DOI":"10.1007\/s00134-013-2906-z","article-title":"Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome","volume":"39","author":"Kirkpatrick AW","year":"2013","journal-title":"Intensive Care Med"},{"key":"2","doi-asserted-by":"crossref","first-page":"183","DOI":"10.1177\/145749690809700224","article-title":"The clinical importance of monitoring intra-abdominal pressure after ruptured abdominal aortic aneurysm repair","volume":"97","author":"Bjorck M","year":"2008","journal-title":"Scand J Surg"},{"key":"3","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1002\/bjs.6592","article-title":"Colonic ischaemia and intra-abdominal hypertension following open repair of ruptured abdominal aortic aneurysm","volume":"96","author":"Djavani K","year":"2009","journal-title":"Br J Surg"},{"key":"4","doi-asserted-by":"crossref","first-page":"581","DOI":"10.1016\/j.ejvs.2005.12.007","article-title":"Intra-abdominal hypertension and abdominal compartment syndrome following surgery for ruptured abdominal aortic aneurysm","volume":"31","author":"Djavani K","year":"2006","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"5","doi-asserted-by":"crossref","first-page":"735","DOI":"10.1002\/bjs.7383","article-title":"Multicentre prospective study of fascial closure rate after open abdomen with vacuum and mesh-mediated fascial traction","volume":"98","author":"Acosta S","year":"2011","journal-title":"Br J Surg"},{"key":"6","doi-asserted-by":"crossref","first-page":"2133","DOI":"10.1007\/s00268-007-9222-0","article-title":"Vacuum-assisted wound closure and mesh-mediated fascial traction \u2013 a novel technique for late closure of the open abdomen","volume":"31","author":"Petersson U","year":"2007","journal-title":"World J Surg"},{"key":"7","doi-asserted-by":"crossref","first-page":"279","DOI":"10.1016\/j.ejvs.2013.12.014","article-title":"Management of abdominal compartment syndrome and the open abdomen","volume":"47","author":"Bjorck M","year":"2014","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"8","doi-asserted-by":"crossref","first-page":"742","DOI":"10.1016\/j.ejvs.2011.02.021","article-title":"Intra-abdominal hypertension and abdominal compartment syndrome after endovascular repair of ruptured abdominal aortic aneurysm","volume":"41","author":"Djavani Gidlund K","year":"2011","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"9","doi-asserted-by":"crossref","first-page":"951","DOI":"10.1007\/s00134-007-0592-4","article-title":"Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. 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