Open abdomen in acute mesenteric ischemia
Acosta, Stefan LU
and Kärkkäinen, Jussi
(2019)
In Anaesthesiology Intensive Therapy
51(2).
p.159-162
- Abstract
In acute mesenteric ischemia, early diagnosis should optimally be followed by either open or endovascular intestinal revascularization. All too often, diagnosis is delayed and diagnosis and treatment are performed at the same time during explorative laparotomy. The majority of patients will be diagnosed when transmural intestinal infarction has developed and at this time point damage control strategies involving intestinal revascularization, bowel resection, open abdomen and second look may be necessary to salvage the patient. This review outlines the principles of the damage control surgery approach in acute mesenteric ischemia and the rationale for temporary open abdomen. In patients in need of long-term open abdomen therapy, negative... (More)
In acute mesenteric ischemia, early diagnosis should optimally be followed by either open or endovascular intestinal revascularization. All too often, diagnosis is delayed and diagnosis and treatment are performed at the same time during explorative laparotomy. The majority of patients will be diagnosed when transmural intestinal infarction has developed and at this time point damage control strategies involving intestinal revascularization, bowel resection, open abdomen and second look may be necessary to salvage the patient. This review outlines the principles of the damage control surgery approach in acute mesenteric ischemia and the rationale for temporary open abdomen. In patients in need of long-term open abdomen therapy, negative pressure wound therapy with continuous fascial traction is a preferred technique achieving a high delayed fascial closure rate.
(Less)
- author
- Acosta, Stefan
LU
and Kärkkäinen, Jussi
- organization
- publishing date
- 2019
- type
- Contribution to journal
- publication status
- published
- subject
- keywords
- acute mesenteric ischemia, damage control laparotomy, intestinal revascularization, peritonitis, superior mesenteric artery occlusion, open abdomen
- in
- Anaesthesiology Intensive Therapy
- volume
- 51
- issue
- 2
- pages
- 4 pages
- publisher
- Via Medica
- external identifiers
-
- scopus:85069268681
- pmid:31268277
- ISSN
- 1642-5758
- DOI
- 10.5114/ait.2019.86280
- language
- English
- LU publication?
- yes
- id
- 32c47074-5942-42ed-a656-c1fe87eebfeb
- date added to LUP
- 2019-07-29 15:35:03
- date last changed
- 2024-02-15 18:02:58
@article{32c47074-5942-42ed-a656-c1fe87eebfeb,
abstract = {{<p>In acute mesenteric ischemia, early diagnosis should optimally be followed by either open or endovascular intestinal revascularization. All too often, diagnosis is delayed and diagnosis and treatment are performed at the same time during explorative laparotomy. The majority of patients will be diagnosed when transmural intestinal infarction has developed and at this time point damage control strategies involving intestinal revascularization, bowel resection, open abdomen and second look may be necessary to salvage the patient. This review outlines the principles of the damage control surgery approach in acute mesenteric ischemia and the rationale for temporary open abdomen. In patients in need of long-term open abdomen therapy, negative pressure wound therapy with continuous fascial traction is a preferred technique achieving a high delayed fascial closure rate.</p>}},
author = {{Acosta, Stefan and Kärkkäinen, Jussi}},
issn = {{1642-5758}},
keywords = {{acute mesenteric ischemia; damage control laparotomy; intestinal revascularization; peritonitis; superior mesenteric artery occlusion; open abdomen}},
language = {{eng}},
number = {{2}},
pages = {{159--162}},
publisher = {{Via Medica}},
series = {{Anaesthesiology Intensive Therapy}},
title = {{Open abdomen in acute mesenteric ischemia}},
url = {{http://dx.doi.org/10.5114/ait.2019.86280}},
doi = {{10.5114/ait.2019.86280}},
volume = {{51}},
year = {{2019}},
}