The endoscopic component separation technique can prevent abdominal compartment syndrome by increasing intra-abdominal volume

Abstract text (incl. references and figure legends)

Introduction: Abdominal compartment syndrome (ACS) is a serious condition that causes respiratory and circulatory disturbances due to organ ischemia, decreased preload, and diaphragmatic elevation caused by increased intra-abdominal pressure. There is no established minimally invasive technique to treat ACS in its early stages. Although there is no established minimally invasive technique for early ACS, there are some literature reports that suggest the usefulness of increasing intra-abdominal volume with endoscopic component separation (ECS), which is mainly used in the hernia field. We investigated how much intra-abdominal volume can be increased by ECS in an actual operation.

Material & Methods: We measured and compared the amount of carbon dioxide gas required to insufflate to 8 mmHg before and after ECS for giant inguinal hernias.

Results: The volume of carbon dioxide required to insufflate to 8 mmHg before and after ECS increased from 1.5L to 2.1L, an increase of 600mL.

Conclusions: The ECS can be easily performed by a skilled surgeon in a relatively short time, and is not invasive because the wound is small. The ECS increased intra-abdominal volume by 600mL, suggesting that ECS is a minimally invasive procedure that can be performed early in the treatment of ACS.

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