"open abdomen" in refractory intracranial hypertension

Q: "open abdomen"  should be given consideration in refractory intracranial hypertension? (select one)

A) True
B) False


Answer: A

In cases of refractory intracranial hypertension mostly after traumatic brain injury, consideration should be given to 'open abdomen' surgery. This is based on the idea that the abdominal decompression lowers the venous pressures, and subsequently augments the venous outflow from the head, resulting in decreased intracranial pressure.

#neurosurgery
#trauma
#surgical-critical-care


Reference:

Joseph DK, Dutton RP, Aarabi B, Scalea TM. Decompressive laparotomy to treat intractable intracranial hypertension after traumatic brain injury. J Trauma 2004; 57:687.