Syndromes Of Intracavitary And Intraorgan Hypertension In Surgical Practice
Abstract
Background: Pathological conditions caused by intraorgan and intracavitary hypertension have shown to be common in medical practice. Syndromes of intraabdominal, intracranial hypertension in limb fracture cases are most thoroughly studied and best characterized. Nevertheless, the significance of the above syndromes to the entire body has not been efficiently defined.
Methods: The implication of excessive pressure has been studied by direct and indirect measuring of pressure inside organs and body cavities in cases of brain injury, lung disease, and various conditions of abdominal cavity organs, including severe abdominal pathologies and traumas, injuries to the limbs.
Results: Interorgan, intracavitary and intertissular hypertension syndromes were found to be characterised by polyetiologic nature, similar pathogenesis mechanisms and accompanied by organ dysfunction or multiorgan insufficiency, based on examination data obtained from 1955 patients, including 70 craniocerebral injury patients, 296 severe abdominal pathology patients, 316 pulmonary pathology patients, 336 Mallory-Weiss syndrome patients, 524 complicated diverticular colon disease patients, 213 acute intestinal obstruction patients, 200 severe shin-bone fracture patients.
Conclusion: Interorgan, intracavitary and intertissular hypertension syndromes can be defined as a uniform (model) pathological process caused by traumatic, infectious, metabolic, vascular factors and conditioned by a disparity between the contents volume and the volume-capacity of the organ cavity, increased pressure inside of them (>10mm Hg) and a pronounces disturbance in interorgan and intertissular perfusion. The authors consider intracavitary, interorgan and intertissular pressure of ≤10 mm Hg to be accepted as the constant value for a human body.
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