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Journal of Indian Association of Pediatric Surgeons
     Journal of Indian Association of Pediatric Surgeons
Official journal of the Indian Association of Pediatric Surgeons         
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 ORIGINAL ARTICLE
Year : 2016  |  Volume : 21  |  Issue : 4  |  Page : 175-177

Intragastric pressure: Useful indicator in the management of congenital diaphragmatic hernia


1 Department of Pediatric Surgery, Dr. B. C. Roy, PGIPS, Kolkata, West Bengal, India
2 Department of Pediatric Surgery, Nil Ratan Sircar Medical College and Hospital, Kolkata, West Bengal, India
3 Senior Consultant, Pediatric Surgery, Apollo Gleneagles Hospitals, Kolkata, West Bengal, India
4 Department of Pediatric Surgery, R D Gardi Medical College, Ujjain, Madhya Pradesh, India

Correspondence Address:
Kartik Chandra Mandal
Department of Pediatric Surgery, Dr. B. C. Roy, PGIPS, 111, Narkeldanga Main Road, Kolkata 700 054, West Bengal
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-9261.186547

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Aims: To assess the role of measuring of intragastric pressure (IGP) during closure of congenital diaphragmatic hernia. Materials and Methods: Thirty-two cases were included in the study (August 2008 to February 2014), and IGP has been measured intraoperatively during closure. Result: Patients were categorized in group A (15 patients), group B (14 patients) and group C (3 patients). In group C, IGP was more than 30 cm of water pressure and all of tehm required creation of ventral hernia and ventilator support. Conclusion: Measurement of IGP as an objective, noninvasive and simple method to evaluate intra-abdominal pressure and prevention of abdominal compartment syndrome and intraoperative IGP value determines the types of abdominal closure.






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  2005 - Journal of Indian Association of Pediatric Surgeons | Published by Wolters Kluwer - Medknow 

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