Authors:
Zsuzsanna Mihály Semmelweis Egyetem Érsebészeti Tanszék 1124 Budapest Városmajor u. 68.

Search for other papers by Zsuzsanna Mihály in
Current site
Google Scholar
PubMed
Close
,
Kristóf Perczel Semmelweis Egyetem Aneszteziológiai és Intenzív Terápiás Klinika Budapest

Search for other papers by Kristóf Perczel in
Current site
Google Scholar
PubMed
Close
,
Gergely Csikós Semmelweis Egyetem Aneszteziológiai és Intenzív Terápiás Klinika Budapest

Search for other papers by Gergely Csikós in
Current site
Google Scholar
PubMed
Close
, and
Zoltán Szeberin Semmelweis Egyetem Érsebészeti Tanszék 1124 Budapest Városmajor u. 68.

Search for other papers by Zoltán Szeberin in
Current site
Google Scholar
PubMed
Close
Restricted access

Magyarországon elsőként közöljük esetünket, amelyben sikerrel alkalmaztunk nyitott hasi és VAC- (vákuumasszisztált sebzárás) kezelést aortaaneurysma-ruptura miatt kialakuló hasi compartmentsyndroma megelőzéseként. Esetismertetés: Az 59 éves nőbeteg acutan került felvételre klinikánkra, akinél az angio-CT-vizsgálat fedett hasi aortaaneurysma-rupturát igazolt. Az acut laparotomiából végzett aortoaorticus Dacron graft interpositióját követően, a has zárásakor a beteg lélegeztethetetlenné vált a vékony- és vastagbél hosszú szakaszát érintő oedemája és a retroperitonealis vérgyülem okozta megemelkedett hasűri nyomás miatt. Ezért nyitott hasi kezelés és VAC-terápia mellett döntöttünk. Az ismételt kötéscseréket követően a has halasztott zárása DualMesh hálóval történt, három héttel később a beteg otthonába távozott. Megbeszélés: Esetünkben a nagyfokú oedema és a retroperitonealis haematoma miatt a fedett hasi aortaaneurysma-ruptura műtéti megoldását követően a has zárása már nem volt kivitelezhető. Az intraabdominalis nyomásfokozódás szövődményei megakadályozhatók voltak a nyitott hasi kezelésnek köszönhetően. Esetünk tapasztalata és a szakirodalom ajánlása alapján javasoljuk a nyitott hasi kezelést VAC-rendszerrel kombinálva hasi compartmentsyndroma esetén.

  • Kirkpatrick AW, Roberts DJ, De Waele J, Jaeschke R, Malbrain ML, De Keulenaer B, Duchesne J, Bjorck M, Leppaniemi A, Ejike JC, Sugrue M, Cheatham M, Ivatury R, Ball CG, Reintam Blaser A, Regli ZA, Balogh ZJ, D’Amours S, Debergh D, Kaplan M, Kimball E, Olvera C: Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med 2013; 39: 1190–206

    Olvera C , 'Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome ' (2013 ) 39 Intensive Care Med : 1190 -206 .

    • Search Google Scholar
  • Bjorck M, Wanhainen A, Djavani K, Acosta S: The clinical importance of monitoring intra-abdominal pressure after ruptured abdominal aortic aneurysm repair. Scand J Surg 2008; 97: 183–90

    Acosta S , 'The clinical importance of monitoring intra-abdominal pressure after ruptured abdominal aortic aneurysm repair ' (2008 ) 97 Scand J Surg : 183 -90 .

    • Search Google Scholar
  • Djavani K, Wanhainen A, Valtysson J, Bjorck M: Colonic ischaemia and intra-abdominal hypertension following open repair of ruptured abdominal aortic aneurysm. Br J Surg 2009; 96: 621–7

    Bjorck M , 'Colonic ischaemia and intra-abdominal hypertension following open repair of ruptured abdominal aortic aneurysm ' (2009 ) 96 Br J Surg : 621 -7 .

    • Search Google Scholar
  • Djavani K, Wanhainen A, Bjorck M: Intra-abdominal hypertension and abdominal compartment syndrome following surgery for ruptured abdominal aortic aneurysm. Eur J Vasc Endovasc Surg 2006; 31: 581–4

    Bjorck M , 'Intra-abdominal hypertension and abdominal compartment syndrome following surgery for ruptured abdominal aortic aneurysm ' (2006 ) 31 Eur J Vasc Endovasc Surg : 581 -4 .

    • Search Google Scholar
  • Acosta S, Bjarnason T, Petersson U, Palsson B, Wanhainen A, Svensson M, Djavani K, Bjorck M: Multicentre prospective study of fascial closure rate after open abdomen with vacuum and mesh-mediated fascial traction. Br J Surg 2011; 98: 735–43

    Bjorck M , 'Multicentre prospective study of fascial closure rate after open abdomen with vacuum and mesh-mediated fascial traction ' (2011 ) 98 Br J Surg : 735 -43 .

    • Search Google Scholar
  • Petersson U, Acosta S, Bjorck M: Vacuum-assisted wound closure and mesh-mediated fascial traction – a novel technique for late closure of the open abdomen. World J Surg 2007; 31: 2133–7

    Bjorck M , 'Vacuum-assisted wound closure and mesh-mediated fascial traction – a novel technique for late closure of the open abdomen ' (2007 ) 31 World J Surg : 2133 -7 .

    • Search Google Scholar
  • Bjorck M, Wanhainen A: Management of abdominal compartment syndrome and the open abdomen. Eur J Vasc Endovasc Surg 2014; 47: 279–87

    Wanhainen A , 'Management of abdominal compartment syndrome and the open abdomen ' (2014 ) 47 Eur J Vasc Endovasc Surg : 279 -87 .

    • Search Google Scholar
  • Djavani Gidlund K, Wanhainen A, Bjorck M: Intra-abdominal hypertension and abdominal compartment syndrome after endovascular repair of ruptured abdominal aortic aneurysm. Eur J Vasc Endovasc Surg 2011; 41: 742–7

    Bjorck M , 'Intra-abdominal hypertension and abdominal compartment syndrome after endovascular repair of ruptured abdominal aortic aneurysm ' (2011 ) 41 Eur J Vasc Endovasc Surg : 742 -7 .

    • Search Google Scholar
  • Cheatham ML, Malbrain ML, Kirkpatrick A, Sugrue M, Parr M, De Waele J, Balogh Z, Leppaniemi A, Olvera C, Ivatury R, D’Amours S, Wendon J, Hillman K, Wilmer A: Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. II. Recommendations. Intensive Care Med 2007; 33: 951–62

    Wilmer A , 'Results from the International Conference of Experts on Intra-abdominal Hypertension and Abdominal Compartment Syndrome. II. Recommendations ' (2007 ) 33 Intensive Care Med : 951 -62 .

    • Search Google Scholar
  • Bjorck M: Management of the tense abdomen or difficult abdominal closure after operation for ruptured abdominal aortic aneurysms. Semin Vasc Surg 2012; 25: 35–8

    Bjorck M , 'Management of the tense abdomen or difficult abdominal closure after operation for ruptured abdominal aortic aneurysms ' (2012 ) 25 Semin Vasc Surg : 35 -8 .

    • Search Google Scholar
  • Cheatham ML, Demetriades D, Fabian TC, Kaplan MJ, Miles WS, Schreiber MA, Holcomb JB, Bochicchio G, Sarani B, Rotondo MF: Prospective study examining clinical outcomes associated with a negative pressure wound therapy system and Barker’s vacuum packing technique. World J Surg 2013; 37: 2018–30

    Rotondo MF , 'Prospective study examining clinical outcomes associated with a negative pressure wound therapy system and Barker’s vacuum packing technique ' (2013 ) 37 World J Surg : 2018 -30 .

    • Search Google Scholar
  • Collapse
  • Expand

Senior editors

Editor(s)-in-Chief: Oláh, Attila

Editorial Board

  • DR. BÁLINT ANDRÁS
  • DR. BEZSILLA JÁNOS
  • DR. BOROS MIHÁLY
  • DR. BURSICS ATTILA
  • DR. DAMJANOVICH LÁSZLÓ
  • DR. ENTZ LÁSZLÓ
  • DR. GULYÁS GUSZTÁV
  • DR. HARSÁNYI LÁSZLÓ
  • DR. HORVÁTH ÖRS PÉTER
  • DR. ISTVÁN GÁBOR
  • DR. KECSKÉS LÁSZLÓ
  • DR. KÓBORI LÁSZLÓ
  • DR. KUPCSULIK PÉTER
  • DR. LÁZÁR GYÖRGY
  • DR. LESTÁR BÉLA
  • DR. MÁTRAI ZOLTÁN
  • DR. MOHOS ELEMÉR
  • DR. MOLNÁR F. TAMÁS
  • DR. ONDREJKA PÁL
  • DR. PAPP ANDRÁS
  • DR. RÉNYI-VÁMOS FERENC
  • DR. ROMICS LÁSZLÓ JR.
  • DR. SÓTONYI PÉTER
  • DR. SZIJÁRTÓ ATTILA
  • DR. SZŰCS ÁKOS
  • DR. VEREBÉLY TIBOR
  • DR. VERECZKEI ANDRÁS

Petz Aladár County Teaching Hospital, Surgery
Vasvári Pál út 2. H-9024 Győr, Hungary
Phone: +36 96 503 320 --- Fax: +36 96 507 936
E-mail: olaha@petz.gyor.hu

Indexing and Abstracting Services:

  • Index Medicus
  • PubMed Central
  • CABELLS Journalytics

 

Magyar Sebészet
Publication Model Hybrid
Submission Fee none
Article Processing Charge 900 EUR/article
Printed Color Illustrations 40 EUR (or 10 000 HUF) + VAT / piece
Regional discounts on country of the funding agency World Bank Lower-middle-income economies: 50%
World Bank Low-income economies: 100%
Further Discounts Editorial Board / Advisory Board members: 50%
Corresponding authors, affiliated to an EISZ member institution subscribing to the journal package of Akadémiai Kiadó: 100%
Subscription fee 2025 Online subsscription: 332 EUR / 380 USD
Print + online subscription: 380 EUR / 452 USD
Subscription Information

Online subscribers are entitled access to all back issues published by Akadémiai Kiadó for each title for the duration of the subscription, as well as Online First content for the subscribed content.

Purchase per Title Individual articles are sold on the displayed price.

Magyar Sebészet
Language Hungarian
Size A4
Year of
Foundation
1947
Volumes
per Year
1
Issues
per Year
4
Founder Magyar Sebész Társaság -- Hungarian Surgical Society
Founder's
Address
H-1082 Budapest, Hungary Üllői út 78.
Publisher Akadémiai Kiadó
Publisher's
Address
H-1117 Budapest, Hungary 1516 Budapest, PO Box 245.
Responsible
Publisher
Chief Executive Officer, Akadémiai Kiadó
ISSN 0025-0295 (Print)
ISSN 1789-4301 (Online)

Monthly Content Usage

Abstract Views Full Text Views PDF Downloads
Jul 2024 9 0 0
Aug 2024 5 0 0
Sep 2024 30 0 0
Oct 2024 53 0 0
Nov 2024 70 0 0
Dec 2024 96 0 3
Jan 2025 15 0 0