Laparotomy Versus Percutaneous Puncture in Patients With Abdominal Compartment Syndrome During Acute Pancreatitis
Laparotomy Versus Percutaneous Puncture in Patients With Abdominal Compartment Syndrome During Acute Pancreatitis
Decompressive laparotomy with temporary abdominal closure, will decrease of overall mortality
 and major morbidity in patients with abdominal compartment syndrome during acute pancreatitis
 in comparison with percutaneous puncture with placement of abdominal catheter.
We anticipated that decompressive laparotomy with temporary abdominal closure, beside all
 potentially negative side effects that early open surgery carries in patients with acute
 pancreatitis, results in decrease of overall mortality and major morbidity. The DECOMPRESS
 study is designed to compare effects of decompressive laparotomy with temporary abdominal
 closure and percutaneous puncture with placement of abdominal catheter in patients with
 abdominal compartment syndrome during acute pancreatitis.
Inclusion Criteria:

 -  The study population consists of patients with acute pancreatitis complicated with
 development of abdominal compartment syndrome.

 Exclusion Criteria:

 -  Patients will not be enrolled to the study if any of the following criteria will be
 present:

 -  age < 18 and > 80 years

 -  recent surgical interventions

 -  psychoses

 -  pregnancy

 -  previously history of chronic pancreatitis