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Table 3 Summary of studies about decompressive laparotomy timing in abdominal compartment syndrome

From: Timing of surgical intervention for compartment syndrome in different body region: systematic review of the literature

Disease Author Year Number of patients Study design Timing Morbidity Mortality
Pancreatitis Mentula [47] 2010 26 Retrospective DL within 4 days vs. later nr 18% vs. 100%
Davis [48] 2013 45 Retrospective 16 pts DL after 3.1 h from ACS diagnosis
3.3 h in BMI > 30 vs. 2.8 h in BMI < 30
43% (ECF or EAF) Overall 24.1%
10% vs. 33.3%
De Waele [49] 2016 33 (27 pts with primary ACS) Retrospective DL within 3.1 h from ACS diagnosis 24% At 28 days: 36%
At 1 year: 55%
Burn Ramirez [50] 2018 46 (27 pts with ACS during initial resuscitation) Retrospective DL within 13 h from ACS diagnosis vs. later (analysis of the 27 pts with ACS during initial resuscitation) nr 30% vs. 67% (p = 0.03)
  1. DL Decompressive laparotomy, ACS Abdominal compartment syndrome, pts Patients, ECF Entero-cutaneous fistula, EAF Entero-atmospheric fistula, BMI Body mass index, nr Not reported