Scientific paperImproved outcome by identification of high-risk nonocclusive mesenteric ischemia, aggressive reexploration, and delayed anastomosis☆
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Cited by (57)
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2023, Journal of Pediatric Surgery Case ReportsUse of indocyanine green fluorescence imaging to determine the area of bowel resection in non-occlusive mesenteric ischemia: A case report
2018, International Journal of Surgery Case ReportsSuccessful treatment of nonocclusive mesenteric ischemia after aortic valve replacement with continuous arterial alprostadil infusion: A case report
2017, International Journal of Surgery Case ReportsDiagnosis and management of acute mesenteric ischemia
2011, Annales Francaises d'Anesthesie et de ReanimationPrinciples of Source Control in the Management of Sepsis
2011, Critical Care Nursing Clinics of North AmericaCitation Excerpt :The demarcation between viable and nonviable bowel is usually clear if the cause of the infarction is a closed-loop obstruction or arterial embolism, but may be more difficult to determine in cases of arterial or venous thrombosis, or in infarction associated with a low-flow state. If the extent of ischemia cannot be reliably assessed at the time of the initial operation, the patient should be taken back to the operating room in 24 to 48 hours for a second-look laparotomy or laparoscopy.27,28 In an unstable patient, it is often safest to resect bowel that is visibly necrotic, leaving the ends stapled off in the peritoneal cavity, and closing the abdomen with a temporary abdominal-closure device.
Principles of Source Control in the Management of Sepsis
2009, Critical Care ClinicsCitation Excerpt :The demarcation between viable and nonviable bowel is usually clear if the cause of the infarction is a closed-loop obstruction or arterial embolism, but may be more difficult to determine in cases of arterial or venous thrombosis, or in infarction associated with a low-flow state. If the extent of ischemia cannot be reliably assessed at the time of the initial operation, the patient should be taken back to the operating room in 24 to 48 hours for a second-look laparotomy or laparoscopy.27,28 In an unstable patient, it is often safest to resect bowel that is visibly necrotic, leaving the ends stapled off in the peritoneal cavity, and closing the abdomen with a temporary abdominal-closure device.
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Presented at the 47th Annual Meeting of the Southwestern Surgical Congress, April 23–26, 1995, San Antonio, Texas.