For IAP grade III (21-25 mm Hg), what is indicated?

For IAP grade III (21-25 mm Hg), what is indicated?

• A. Abdominal decompression is indicated.
• B. Immediate surgical exploration.
• C. Conservative management with fluids only.
• D. Antibiotics and watchful waiting.

Answer: (A)

Intra-abdominal hypertension at this level (21–25 mm Hg) is high enough to impair perfusion and organ function, risking progression to abdominal compartment syndrome. The pressure compresses abdominal vessels, reduces venous return, and compromises renal and diaphragmatic function, worsening ventilation and hemodynamics. The definitive step to prevent further deterioration is to relieve the pressure surgically, typically with a decompressive laparotomy. Medical management alone or waiting for changes in labs won’t quickly restore perfusion when the abdominal contents are under such high pressure, making decompression the indicated action.

Intra-abdominal hypertension at this level (21–25 mm Hg) is high enough to impair perfusion and organ function, risking progression to abdominal compartment syndrome. The pressure compresses abdominal vessels, reduces venous return, and compromises renal and diaphragmatic function, worsening ventilation and hemodynamics. The definitive step to prevent further deterioration is to relieve the pressure surgically, typically with a decompressive laparotomy. Medical management alone or waiting for changes in labs won’t quickly restore perfusion when the abdominal contents are under such high pressure, making decompression the indicated action.