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Godo ZA, Peto K, Balog K, Deak A, Vanyolos E, Fazekas LA, Szentkereszty Z, Nemeth N. A Custom-Tailored Multichannel Pressure Monitoring System Designed for Experimental Surgical Model of Abdominal Compartment Syndrome. SENSORS (BASEL, SWITZERLAND) 2024; 24:524. [PMID: 38257617 PMCID: PMC10819495 DOI: 10.3390/s24020524] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 01/11/2024] [Accepted: 01/13/2024] [Indexed: 01/24/2024]
Abstract
In experimental medicine, a wide variety of sensory measurements are used. One of these is real-time precision pressure measurement. For comparative studies of the complex pathophysiology and surgical management of abdominal compartment syndrome, a multichannel pressure measurement system is essential. An important aspect is that this multichannel pressure measurement system should be able to monitor the pressure conditions in different tissue layers, and compartments, under different settings. We created a 12-channel positive-negative sensor system for simultaneous detection of pressure conditions in the abdominal cavity, the intestines, and the circulatory system. The same pressure sensor was used with different measurement ranges. In this paper, we describe the device and major experiences, advantages, and disadvantages. The sensory systems are capable of real-time, variable frequency sampling and data collection. It is also important to note that the pressure measurement system should be able to measure pressure with high sensitivity, independently of the filling medium (gas, liquid). The multichannel pressure measurement system we developed was well suited for abdominal compartment syndrome experiments and provided data for optimizing the method of negative pressure wound management. The system is also suitable for direct blood pressure measurement, making it appropriate for use in additional experimental surgical models.
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Affiliation(s)
- Zoltan Attila Godo
- Department of Information Technology, Faculty of Informatics, University of Debrecen, Kassai Str. 26, H-4028 Debrecen, Hungary;
| | - Katalin Peto
- Department of Operative Techniques and Surgical Research, Faculty of Medicine, University of Debrecen, Moricz Zsigmond Str. 22, H-4032 Debrecen, Hungary; (A.D.); (E.V.); (L.A.F.); (N.N.)
| | - Klaudia Balog
- Department of Surgery, Faculty of Medicine, University of Debrecen, Moricz Zsigmond Str. 22, H-4032 Debrecen, Hungary; (K.B.); (Z.S.)
| | - Adam Deak
- Department of Operative Techniques and Surgical Research, Faculty of Medicine, University of Debrecen, Moricz Zsigmond Str. 22, H-4032 Debrecen, Hungary; (A.D.); (E.V.); (L.A.F.); (N.N.)
| | - Erzsebet Vanyolos
- Department of Operative Techniques and Surgical Research, Faculty of Medicine, University of Debrecen, Moricz Zsigmond Str. 22, H-4032 Debrecen, Hungary; (A.D.); (E.V.); (L.A.F.); (N.N.)
| | - Laszlo Adam Fazekas
- Department of Operative Techniques and Surgical Research, Faculty of Medicine, University of Debrecen, Moricz Zsigmond Str. 22, H-4032 Debrecen, Hungary; (A.D.); (E.V.); (L.A.F.); (N.N.)
| | - Zsolt Szentkereszty
- Department of Surgery, Faculty of Medicine, University of Debrecen, Moricz Zsigmond Str. 22, H-4032 Debrecen, Hungary; (K.B.); (Z.S.)
| | - Norbert Nemeth
- Department of Operative Techniques and Surgical Research, Faculty of Medicine, University of Debrecen, Moricz Zsigmond Str. 22, H-4032 Debrecen, Hungary; (A.D.); (E.V.); (L.A.F.); (N.N.)
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Szentkereszty Z, Ötvös C, Ditrói G, Bernscherer G, Farkas M, Tóth D. Quo vadis curatio vulnerum? A sebkezelés 100 éve a debreceni sebészeti ellátásban. Magy Seb 2022; 75:61-64. [PMID: 35333766 DOI: 10.1556/1046.2021.10012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Accepted: 12/10/2021] [Indexed: 06/14/2023]
Affiliation(s)
- Zsolt Szentkereszty
- Debreceni Egyetem, Általános Orvostudományi Kar, Sebészeti Intézet,Debrecen,Magyarország(igazgató: dr. habil. Tóth Dezső, PhD)
| | - Csaba Ötvös
- Debreceni Egyetem, Általános Orvostudományi Kar, Sebészeti Intézet,Debrecen,Magyarország(igazgató: dr. habil. Tóth Dezső, PhD)
| | - Gábor Ditrói
- Debreceni Egyetem, Általános Orvostudományi Kar, Sebészeti Intézet,Debrecen,Magyarország(igazgató: dr. habil. Tóth Dezső, PhD)
| | - Gyöngyi Bernscherer
- Debreceni Egyetem, Általános Orvostudományi Kar, Sebészeti Intézet,Debrecen,Magyarország(igazgató: dr. habil. Tóth Dezső, PhD)
| | - Máté Farkas
- Debreceni Egyetem, Általános Orvostudományi Kar, Sebészeti Intézet,Debrecen,Magyarország(igazgató: dr. habil. Tóth Dezső, PhD)
| | - Dezső Tóth
- Debreceni Egyetem, Általános Orvostudományi Kar, Sebészeti Intézet,Debrecen,Magyarország(igazgató: dr. habil. Tóth Dezső, PhD)
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Liao CH, Cheng CT, Chen CC, Wang YH, Chiu HT, Peng CC, Jow UM, Lai YL, Chen YC, Ho DR. Systematic Review of Diagnostic Sensors for Intra-Abdominal Pressure Monitoring. SENSORS 2021; 21:s21144824. [PMID: 34300564 PMCID: PMC8309748 DOI: 10.3390/s21144824] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/14/2021] [Revised: 07/07/2021] [Accepted: 07/14/2021] [Indexed: 12/28/2022]
Abstract
Intra-abdominal pressure (IAP) is defined as the steady-state pressure within the abdominal cavity. Elevated IAP has been implicated in many medical complications. This article reviews the current state-of-the-art in innovative sensors for the measurement of IAP. A systematic review was conducted on studies on the development and application of IAP sensors. Publications from 2010 to 2021 were identified by performing structured searches in databases, review articles, and major textbooks. Sixteen studies were eligible for the final systematic review. Of the 16 articles that describe the measurement of IAP, there were 5 in vitro studies (31.3%), 7 in vivo studies (43.7%), and 4 human trials (25.0%). In addition, with the advancement of wireless communication technology, an increasing number of wireless sensing systems have been developed. Among the studies in this review, five presented wireless sensing systems (31.3%) to monitor IAP. In this systematic review, we present recent developments in different types of intra-abdominal pressure sensors and discuss their inherent advantages due to their small size, remote monitoring, and multiplexing.
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Affiliation(s)
- Chien-Hung Liao
- Department of Trauma and Emergency Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taipei 10547, Taiwan; (C.-H.L.); (C.-T.C.); (Y.-H.W.); (H.-T.C.); (C.-C.P.); (U.-M.J.); (Y.-L.L.); (Y.-C.C.)
| | - Chi-Tung Cheng
- Department of Trauma and Emergency Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taipei 10547, Taiwan; (C.-H.L.); (C.-T.C.); (Y.-H.W.); (H.-T.C.); (C.-C.P.); (U.-M.J.); (Y.-L.L.); (Y.-C.C.)
| | - Chih-Chi Chen
- Department of Rehabilitation and Physical Medicine, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taoyuan 33328, Taiwan;
| | - Yu-Hsin Wang
- Department of Trauma and Emergency Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taipei 10547, Taiwan; (C.-H.L.); (C.-T.C.); (Y.-H.W.); (H.-T.C.); (C.-C.P.); (U.-M.J.); (Y.-L.L.); (Y.-C.C.)
| | - Hsin-Tzu Chiu
- Department of Trauma and Emergency Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taipei 10547, Taiwan; (C.-H.L.); (C.-T.C.); (Y.-H.W.); (H.-T.C.); (C.-C.P.); (U.-M.J.); (Y.-L.L.); (Y.-C.C.)
| | - Cheng-Chun Peng
- Department of Trauma and Emergency Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taipei 10547, Taiwan; (C.-H.L.); (C.-T.C.); (Y.-H.W.); (H.-T.C.); (C.-C.P.); (U.-M.J.); (Y.-L.L.); (Y.-C.C.)
| | - Uei-Ming Jow
- Department of Trauma and Emergency Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taipei 10547, Taiwan; (C.-H.L.); (C.-T.C.); (Y.-H.W.); (H.-T.C.); (C.-C.P.); (U.-M.J.); (Y.-L.L.); (Y.-C.C.)
| | - Yen-Liang Lai
- Department of Trauma and Emergency Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taipei 10547, Taiwan; (C.-H.L.); (C.-T.C.); (Y.-H.W.); (H.-T.C.); (C.-C.P.); (U.-M.J.); (Y.-L.L.); (Y.-C.C.)
| | - Ya-Chuan Chen
- Department of Trauma and Emergency Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taipei 10547, Taiwan; (C.-H.L.); (C.-T.C.); (Y.-H.W.); (H.-T.C.); (C.-C.P.); (U.-M.J.); (Y.-L.L.); (Y.-C.C.)
| | - Dong-Ru Ho
- Department of Urology, Chiayi Chang Gung Memorial Hospital, Chang Gung University, Chiayi 613016, Taiwan
- Correspondence: ; Tel.: +886-975-353-211
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Auer T, Wiederstein-Grasser I, Sauseng S, Delcev P, Preisegger KH. The Effect of Negative Pressure in the Abdominal Cavity With Suprasorb CNP on Abdominal Organs-An Experimental Study. Front Surg 2021; 7:584926. [PMID: 33644109 PMCID: PMC7902921 DOI: 10.3389/fsurg.2020.584926] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2020] [Accepted: 12/07/2020] [Indexed: 11/17/2022] Open
Abstract
Since the introduction of negative pressure therapy of the abdomen, care has been taken to protect the intestine from the effects of negative pressure in order to avoid impairments of abdominal organs. As an alternative to the widespread AB-TheraR system (KCI, San Antonio, Texas, USA), the different concept of Suprasorb CNPR (Lohmann & Rauscher, Austria-Germany) was introduced by the producer with the premise of achieving a better therapeutic effect. Due to numerous pores of the film, the effects of the negative pressure are brought to the surface of the intestinal organs and these effects were tested on seven experimental animals. Particular attention was paid to the small intestine, colon, liver, and pancreas. Over 8 h continuously, three animals were tested with −80 mmHg, 4 with −60 mmHg. The results showed no macroscopic pathological changes. The histological results showed borderline changes in the small intestine and colon with −80 mmHg application, minimal or none with −60 mmHg. The liver and pancreas were found free of pathological changes. For use on human organs, the intra-abdominal application of −60 mmHg for the Suprasorb CNP system is proposed as the standard.
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Affiliation(s)
- Thomas Auer
- General, Visceral and Transplant Surgery, Department of Surgery, Medical University of Graz, Graz, Austria
| | | | - Siegfried Sauseng
- General, Visceral and Transplant Surgery, Department of Surgery, Medical University of Graz, Graz, Austria
| | - Pavle Delcev
- General, Visceral and Transplant Surgery, Department of Surgery, Medical University of Graz, Graz, Austria
| | - Karl H Preisegger
- Institute of Morphological Analytics and Human Genetics Graz, Graz, Austria
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