[Prevention of ischemic colitis following aortic reconstruction: personal experience of the role of transmural oximetry in the decision for inferior mesenteric artery reimplantation].
BACKGROUND
The colonic ischemic necrosis is one of the most serious complication in the surgical reconstruction of abdominal aorta aneurysm (AAA) due to surgical inappropriate binding of the inferior mesenteric artery (IMA).


METHODS
A retrospective analyzed of a group of 118 infrarenal AAA surgically treated is presented.


RESULTS
The most common cause of ischemic colitis (75% of cases) is the surgical binding of an opened IMA or its failed reimplantation.


CONCLUSIONS
In this paper according to their personal experience and the literature data, the authors outline a diagnostic behaviour to select the patients needing the reimplantation of IMA; they suggest to complete the pre operative information with an instrumental evaluation during the surgical treatment.
Panier Suffat
L
L
Dipartimento di Discipline Medico-Chirurgiche, Sezione di Chirurgia Generale ed Oncologica, Università degli Studi di Torino, Torino, Italy.
Tridico
F
F
Rebecchi
F
F
Bianco
A
A
Monticone
C
C
Lanza
S
S
Calello
G
G
Contessa
L
L
Giaccone
C
C
Panier Suffat
P
P
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D017091:Colitis, Ischemic / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D017537:Mesenteric Artery, Inferior / Q000601:surgery*; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D012092:Replantation; D012189:Retrospective Studies; D016896:Treatment Outcome
Prevenzione della colite ischemica successiva a ricostruzione aortica. Nostra esperienza sul ruolo della ossimetria transmurale nella decisione del reimpianto dell'arteria mesenterica inferiore (AMI).