[Repeated intestinal exploration and multi-stage surgeries within the program of the treatment of segment necrosis and the small intestine ischemia].
An ischemic intestinal affection is observed frequently, its diagnosis difficult, mortality is high. In the clinic there were followed 47 patients with an ischemic intestinal affection. In 24 of them the etiology of ischemia was mesenterial thrombosis, in 23--strangulational ileus. While the doubt in intestinal viability existed, relaparotomy was performed for its state estimation and in necrosis-resection with primary anastomosis conduction. Mortality was 2.1%. Application of such a tactic had permitted to reduce significantly the frequency of resection conduction while doubt in intestinal viability present as well as mortality--in intestinal necrosis.
Ol'shanetskiĭ
A A
AA
Glazunov
V K
VK
Rumiantsev
G V
GV
D000208:Acute Disease; D000714:Anastomosis, Surgical; D003937:Diagnosis, Differential; D006801:Humans; D045823:Ileus / Q000209:etiology* / Q000601:surgery*; D007421:Intestine, Small / Q000098:blood supply* / Q000473:pathology*; D007511:Ischemia / Q000150:complications* / Q000473:pathology*; D008875:Middle Aged; D009336:Necrosis; D011183:Postoperative Complications / Q000601:surgery; D012086:Reoperation; D012720:Severity of Illness Index; D013997:Time Factors