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1、Decompressive laparotomy has been shown to effec-tively reduce IAP and reverse the symptoms typicallyassociated with ACS [32]. In patients with severe acutepancreatitis and IAH, intra-abdominal fluid collectionsmay not always be present and therefore decompres-sive laparotomy and temporary abdominal closure isthe most effective way of decreasing IAP [7, 15, 33].The most common approach to decompressivelaparotomy is through a long, vertical midline incision,but a transverse incision to anticipate later pancreaticsurgery may also be used. Because of the risk of。

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