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Research: Successful decompressive laparotomy in a neonate with abdominal compartment syndrome on extracorporeal membrane oxygenation following congenital diaphragmatic hernia repair

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Research: Successful decompressive laparotomy in a neonate with abdominal compartment syndrome on extracorporeal membrane oxygenation following congenital diaphragmatic hernia repair

Perfusion

. 2022 Dec 20;2676591221147436.

 doi: 10.1177/02676591221147436. Online ahead of print. https://pubmed.ncbi.nlm.nih.gov/36537252/

Successful decompressive laparotomy in a neonate with abdominal compartment syndrome on extracorporeal membrane oxygenation following congenital diaphragmatic hernia repair

Camille Plourde 1Francis-Olivier Beauchamp 2Rebecca Brocks 1Céline Thibault 2 3

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Abstract

Abdominal compartment syndrome (ACS) is a rare complication of extracorporeal membrane oxygenation (ECMO) and is associated with high morbidity and mortality. Despite being the treatment of choice for ACS, decompressive laparotomy (DL) has been a matter of debate in children supported with ECMO due to high bleeding risk and presumed futility. We report the first neonatal DL for ACS while on ECMO following congenital diaphragmatic hernia (CDH) repair. Given its excellent outcomes, our case challenges current literature and supports prompt bedside laparotomy to treat ACS on neonatal ECMO.

Keywords: Abdominal compartment syndrome; bivalirudin; congenital diaphragmatic hernia; decompressive laparotomy; extracorporeal membrane oxygenation; intensive care; neonates; pediatric.

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