The laparoscopic second look for ischemic bowel disease
| Autor: | Negri M, Hasan Kais, S. Slutzki, Ariel Halevy, Zvi Halpern |
|---|---|
| Rok vydání: | 1996 |
| Předmět: |
Ischemic Bowel Disease
Male Reoperation medicine.medical_specialty medicine.medical_treatment Ischemia Anastomosis Postoperative Complications Laparotomy Intestine Small medicine Humans Minimally Invasive Surgical Procedures Laparoscopy Aged Aged 80 and over medicine.diagnostic_test business.industry Anastomosis Surgical Middle Aged medicine.disease Laparoscopes Surgery Endoscopy medicine.anatomical_structure Abdomen business Abdominal surgery |
| Zdroj: | Surgical endoscopy. 10(7) |
| ISSN: | 0930-2794 |
| Popis: | Background: Survival after acute vascular ischemia depends on a second look laparotomy to detect extending bowel compromise and to verify the integrity of the anastomosis. In a series of five consecutive patients with acute ischemic bowel desease, we used laparoscopic technique to determine if a formal laparotomy could be avoided. Methods: following the resection of ischemic bowel in five consecutive patients, two laparoscopic trocars were inserted in the lower abdominal quadrants and covered by sterile gloves. Forty-eight to 72 h following the primary operation, the abdomen was inflated via a trocar and secondary assessement done by laparoscopy. Results: In all patients, the integrity of the anastomosis and viability of the remaining bowel was accurately assessed by laparoscopy. Conclusions: Using mininally invasive techniques, a second look laparotomy was avoided in 5 patients with ischemic bowel disease. |
| Databáze: | OpenAIRE |
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