Reply: Elevated Intra-Abdominal Pressure is a “Second-Hit”

  title={Reply: Elevated Intra-Abdominal Pressure is a “Second-Hit”},
  author={John M. Scollay and R Washington Parks},
  journal={World Journal of Surgery},
We thank Dr. Basu for his interest in our article [1]. Dr. Basu highlights how in critically ill patients intraabdominal hypertension (IAH) could act as a ‘‘second-hit’’ and compromise anastomotic integrity. The primary aim of our prospective study was to determine the incidence of IAH in patients undergoing major elective abdominal surgery. The majority of these patients made an uncomplicated recovery and would not be regarded as ‘‘critically ill.’’ Within the limitations of this relatively… CONTINUE READING