Intraabdominal hypertension and abdominal compression syndrome during laparoscopic operations

Abdominal compartment syndrome (ACS) occurs with a persistent increase in intra-abdominal pressure above 20 mmHg and is associated with organ failure. The prevalence of SAH varies from 2 to 36,4 %. An analysis of the literature data over the past 5 years has been carried out to present a modern concept, classification and integrated approach to the treatment and prevention of severe complications of SAH, including using photodynamic therapy (PDT). The treatment is based on the evacuation of intraluminal contents, detection and treatment of intra-abdominal pathology, improvement of the elastic properties of the anterior abdominal wall and optimal injection of fluids and tissue perfusion. Today, PDT is undoubtedly effective in the treatment of many surgical diseases due to its anti-inflammatory, regenerative, desensitizing, and immunocorrective properties inherent in laser treatment. Thus, the key point in the treatment of ACS is the need for an interdisciplinary focus for intensive care and early rehabilitation of patients. In this regard, the search, definition and implementation of strategies to optimize the care of this category of patients is relevant. ACS should be treated before complications occur, and the introduction of a comprehensive method of preparing patients for surgical treatment during laparoscopic operations using PDT sessions is relevant, especially in elderly and senile patients with a number of concomitant diseases, impaired organ function and systems.