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

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.