Non-ICU-Based Staged Management of Laparotomy-Related Abdominal Compartment Syndrome in a 23-Year-Old Male

Introduction: Abdominal compartment syndrome (ACS) is a sustained intraabdominal pressure (IAP) of 20 mmHg or higher with new organ dysfunction. Decompression required when IAP exceeds 25 even without evidence Common abdominal surgical diseases and operations can be complicated by ACS, clinicians should have the requisite capacity to detect intervene early enough. Intensive care unit (ICU) has traditionally been mainstay ACS management. Case Presentation: A 23-year-old male was referred combined mesh Bogota bag anterior construct after midline laparotomy 24 hours earlier, following which wall could not closed primarily tension. This result significant edema bowel retroperitoneum. patient, adequate resuscitation, underwent two-staged procedure, 6 days apart, achieve skin closure. After an unremarkable healing, repair for consequent incisional hernia carried out 15 months later. Conclusions: patient’s successfully managed in non-ICU setting demonstrate possibility managing selected cases laparotomy-related low-resource settings ICU facilities.