[Prevention of colonic ischemia during surgery of the aorta].
The authors report the results of 53 revascularizations of the Inferior Mesenteric Artery, performed during 315 aortic reconstructive procedures, in 19 (35.85%) cases out of a group of 102 aortic aneurysms and 34 (74.15%) cases in a group of 213 aorto-iliac obstructive lesions. The "Carrel patch" technique was always used for the aneurysms of the aorta abdominal cases, whilst this technique was always adopted for only 21 obstructive patients; in the remaining 13 a personal technique was used and is here described. The long term results show a good patency rate (63.7%) for the reimplanted artery, planted artery, but above all no case of colonic ischemia in this group to compare with the 3 cases occurred in the no reimplanted group.
Piccinini
E
E
Dpto. de Cirugía, Hospital General, Ravena, Italia.
Turicchia
G U
GU
Altini
R
R
Ribichini
P
P
Stancanelli
V
V
D001012:Aorta, Abdominal; D001014:Aortic Aneurysm / Q000601:surgery*; D001157:Arterial Occlusive Diseases / Q000601:surgery*; D003106:Colon / Q000098:blood supply*; D005500:Follow-Up Studies; D006801:Humans; D007511:Ischemia / Q000517:prevention & control*; D008638:Mesenteric Arteries / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D012092:Replantation
Prevención de la isquemia colónica durante la cirugía de aorta.