title: [Acute mesenteric ischemia. Principles of treatment and surgical approach].
abstract: The AA report some considerations on the treatment and surgical approach during acute mesenteric ischemia (IMA) focusing some indications for a timely and suitable therapeutic approach. In the last 2 years, they treated 12 cases of IMA in critical patients. Early identification allows avoiding advanced phases of the intestinal infarct/bowel necrosis; in this phase the multidisciplinary approach for the hemodynamic stabilization is a priority, together with rianimatory support and surgery operation. The preservation of the intestinal vitality is essential to avoid the need of bowel resections or at least a major one. A suitable treatment permits a better survival and improvement of the quality of life. Surgical timing requires the intervention within 12 hours since the beginning of the symptoms to be more efficacious.
authors: Struttura Complessa di Chirurgia Generale 1a, Azienda Ospedaliera "Fatebenefratelli e Oftalmico", Milano. wzuccon@libero.it
authors: William
authors: W
authors: Zuccon
authors: Giampietro
authors: G
authors: Creperio
authors: Roberto
authors: R
authors: Paternollo
authors: Angelo
authors: A
authors: Iamele
authors: Maurizio
authors: M
authors: Pagani
authors: Massimo
authors: M
authors: Bianchi
authors: Elena
authors: E
authors: Bernardin
authors: Guido
authors: G
authors: Familiari
mesh_terms: D000208:Acute Disease; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007511:Ischemia / Q000601:surgery*; D008297:Male; D008643:Mesentery / Q000098:blood supply*; D008875:Middle Aged