Elevated intra-abdominal pressure decreases internal organ perfusion and can result in death. Intra-abdominal hypertension can occur at pressures at or above 12 mmHg. Abdominal compartment syndrome may be defined as an intra-abdominal pressure above 20 mmHg with evidence of organ dysfunction/failure requiring invasive measures. Monitoring is done by measuring bladder pressures via Foley catheter. Following abdominal decompression, abdominal closure may be achieved using biologic mesh. Skin closure can be done with dental rolls.