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Indications and procedures for second-look surgery in acute mesenteric ischemia.
- Source :
-
Surgery Today . Aug2010, Vol. 40 Issue 8, p700-705. 6p. - Publication Year :
- 2010
-
Abstract
- Acute mesenteric ischemia (AMI) is a highly lethal clinical entity associated with high morbidity and mortality. Bowel necrosis often results, usually necessitating bowel resection; however, deciding on the extent of resection is problematic as accurate identification of ischemic bowel that may undergo subsequent infarction is difficult. Therefore, a second-look laparotomy after the first operation is usually recommended. While the second-look procedure is widely accepted, its optimal indications and mode are still controversial, raising questions such as “second-look or not?,” “planned relaparotomy or relaparotomy on demand?,” and “open or laparoscopic?” In this review we discuss the relevant literature and reassess the role of the second-look operation in the treatment of AMI. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 09411291
- Volume :
- 40
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- Surgery Today
- Publication Type :
- Academic Journal
- Accession number :
- 52576083
- Full Text :
- https://doi.org/10.1007/s00595-009-4140-4