[Indications and results of second-look operation in acute mesenteric vascular occlusion].
In acute mesenteric infarction (AMI) assessment of bowel vitality after surgery remains to be a difficult problem for which second-look-operation was recommended. From 1977-1989, 115 patients were operated on AMI (explor. laparotomy: n = 28, resection and/or revascularization n = 87). In 36/87 patients, a planned second look was performed for control of vitality or lavage. In 10/87 patients, re-resection was performed, of whom 5 patients survived. By the second-look, 6% of 87 patients could be saved. Over all survival was 41.7%.
Denecke
H
H
Chirurgische Universitätsklinik München.
Stiegler
H
H
D000006:Abdomen, Acute / Q000401:mortality / Q000601:surgery*; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007422:Intestines / Q000098:blood supply*; D007511:Ischemia / Q000401:mortality / Q000601:surgery*; D008297:Male; D008641:Mesenteric Vascular Occlusion / Q000401:mortality / Q000601:surgery*; D008875:Middle Aged; D010533:Peritoneal Lavage; D010538:Peritonitis / Q000401:mortality / Q000601:surgery; D011183:Postoperative Complications / Q000401:mortality / Q000601:surgery*; D012086:Reoperation; D015996:Survival Rate