[Acute mesenteric ischemia. Principles of treatment and surgical approach].
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.
Zuccon
William
W
Struttura Complessa di Chirurgia Generale 1a, Azienda Ospedaliera "Fatebenefratelli e Oftalmico", Milano. wzuccon@libero.it
Creperio
Giampietro
G
Paternollo
Roberto
R
Iamele
Angelo
A
Pagani
Maurizio
M
Bianchi
Massimo
M
Bernardin
Elena
E
Familiari
Guido
G
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