From: The neglected role of abdominal compliance in organ-organ interactions
1) Related to anthropomorphy and demographics | |
- Gynoid composition (ellipse, pear‐shaped) | |
- Waist‐to‐hip ratio < 0.8 | |
- Peripheral obesity | |
- Preferentially subcutaneous fat | |
- Height (tall stature) | |
- Old age (loss of elastic recoil) | |
- Female sex | |
- Lean and slim body | |
- Normal BMI | |
2) Related to absence of comorbidities and/or increased compressible intra‐abdominal volume (IAV) | |
- Absence of deadly triad: normothermia, normal pH, normal coagulation | |
- Bowels filled with air | |
- Stomach filled with air | |
- Absence of fluid overload (second or third space fluid accumulation) | |
3) Related to abdominal wall and diaphragm | |
- Previous pregnancy | |
- Previous laparoscopy | |
- Previous abdominal surgery | |
- Abdominal wall lift | |
- Weight loss | |
- Chronic intra‐abdominal hypertension (IAH) | |
- Umbilical hernia (before repair) | |
- Burn escharotomy (thorax and/or abdomen) | |
- Avoidance of tight closure | |
- Open abdomen with temporary abdominal closure | |
- Beach chair positioning | |
- Sedation and analgesia | |
- Muscle relaxation | |
- Bronchodilation | |
- Lung protective ventilation | |
- Pre‐stretching of fascia (cirrhosis with ascites, peritoneal dialysis when fluid is drained from abdomen) |