الفهرس 
Correlation of increased intra-abdominal pressure with abdominal wound dehiscence in acute surgical emergencies
دراسة العالقة بين زيادة ضغط البطن وتفكك جدار البطن في حاالت طوارئ الجراحةOnly 14 pages are availabe for public view
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Abstract
Background: Wound-dehiscence has negative impact on patients{u2019} mental health and physical and social function, In 2004, a group of international physicians and surgeons formed the World Society of the Abdominal Compartment Syndrome (WSACS),The goal of this new organization was to develop a cohesive approach to the management of IAH and ACS, It is important to identify the risk factors for burst abdomen and IAH/ACS in acute surgical emergency to develop treatment strategy. Patients and Methods: This is Analytic Observational Cohort (Longitudinal) study which was conducted on two hundred fifty patients presented to kasralainy hospital{u2019}s emergency department from May 2019 till March 2021 with acute surgical emergencies that required midline laparotomy after obtaining theirs consent. Results:The incidence of burst abdomen was 5.6%, with most of burst cases occurred during the first week and most of them were partial dehiscence, both group were homogenous regarding Age, Sex, and BMI,we developed a scoring system for early prediction of burst abdomen using seven early factors that were statistically significant with burst abdomen and could be assessed during the first 24 hours this score was named (D-SOAP score) (DM- Pre operative (shock-sepsis)- ventilatory support-operative time>=2(hrs)- post operative IAP>=15 (cm)- 24 h IAP>=12 (cm)- Hb<12).D-SOAP score with score <4 can predict burst abdomen with sensitivity of (85.7%) and specificity of (86.9 %)