Intraoperative Colon Mucosal Oxygen Saturation During Aortic Surgery

Lee, Eugene S.; Bass, Arie; Arko, Frank R.; Heikkinen, Martti; Harris, E. John; Zarins, Christopher K.; Starre, Pieter van der; Olcott, Cornelius

doi:10.1016/j.jss.2006.05.014

Cited by 27 publications

(18 citation statements)

References 25 publications

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“…In their opinion, intraoperative VLS is a sensitive measure and persistently low colon mucosal oxygen saturation suggests colon ischemia and a threat of colon infarction [22] . Karliczek et al evaluated the predictive value of VLS for anastomotic leakage of the colon and the rectum in 77 patients undergoing colorectal resections in a prospective observational study [1] .…”

Section: Polarographic Measurement Of Oxygen Tensionmentioning

confidence: 99%

How to assess intestinal viability during surgery: A review of techniques

Urbanavičius

Pattyn²,

Putte³

et al. 2011

WJGS

190

156

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Objective and quantitative intraoperative methods of bowel viability assessment are essential in gastrointestinal surgery. Exact determination of the borderline of the viable bowel with the help of an objective test could result in a decrease of postoperative ischemic complications. An accurate, reproducible and cost effective method is desirable in every operating theater dealing with abdominal operations. Numerous techniques assessing various parameters of intestinal viability are described by the studies. However, there is no consensus about their clinical use. To evaluate the available methods, a systematic search of the English literature was performed. Virtues and drawbacks of the techniques and possibilities of clinical application are reviewed. Valuable parameters related to postoperative intestinal anastomotic or stoma complications are analyzed. Important issues in the measurement and interpretation of bowel viability are discussed. To date, only a few methods are applicable in surgical practice.Further studies are needed to determine the limiting values of intestinal tissue oxygenation and flow indicative of ischemic complications and to standardize the methods.

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Section: Polarographic Measurement Of Oxygen Tensionmentioning

confidence: 99%

How to assess intestinal viability during surgery: A review of techniques

Urbanavičius

Pattyn²,

Putte³

et al. 2011

WJGS

190

156

View full text Add to dashboard Cite

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“…Total organ quantifiable oxygenation levels, a true indicator of ischemia, provided in real-time to the transplant surgeon, may provide critical data in the operating room to maximize graft function. Of those studies attempting to measure endorgan oxygenation, oxymeters (21) and spectrophotometer probes (25) have been utilized and were found either to ineffective or provided only a limited sampling of tissue oxygenation. Many technologies employed by other specialties measure flow to an organ and not actual tissue oxygenation (26)(27)(28)(29)(30), or measure postoperative oxygenation(31,32).…”

Section: Discussionmentioning

confidence: 99%

“…Vascular surgeons, during open and endovascular abdominal aortic aneurysm (AAA) repair have sought ways to detect ischemic colitis intraoperatively before the procedure is completed (20,21,25,38). Similar technology is being investigated by cardiac surgeons to assess graft-patency intraoperatively during coronary artery bypass grafts (26)(27)(28).…”

Section: Discussionmentioning

confidence: 99%

Enhanced Surgical Imaging: Laparoscopic Vessel Identification and Assessment of Tissue Oxygenation

Crane

McHone

Hawksworth

et al. 2008

Journal of the American College of Surgeons

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Background-Inherent to minimally invasive procedures are loss of tactile feedback and loss of three dimensional assessment. Tasks such as vessel identification and dissection are not trivial for the inexperienced laparoscopic surgeon. Advanced surgical imaging, such as 3-CCD (charge-coupled device) image enhancement, can be used to assist with these more challenging tasks and, in addition, offers a method to non-invasively monitor tissue oxygenation during surgery.

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“…Intravenous fluroescein and Wood's lamp illumination have been used to assess bowel viability after aortic reconstruction. [2] Some studies in animals [3] and some in human colon during aortic surgery [4] have used mucosal oxygen saturation as a measure of ischemia. Visible light spectroscopy oximeter was used to measure mucosal capillary hemoglobin oxygen saturation.…”

Section: Clinical Practicementioning

confidence: 99%

Use of a silicone patch in the management of severe ischemic small bowel volvulus

et al. 2011

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A newborn was transferred to our unit for a suspicion of volvulus. An emergency l a p a r o t o m y s h o w e d , i n t h e c o n t e x t o f malrotation, a 540° volvulus, with the totality of the small bowel dark purple. There was no improvement more than 30 minutes after the bowel was detorsed (Fig. 1). It was highly suspected that no viable small bowel was present, and we decided to give supportive care for 48 hours and then reassess the situation. To close the laparotomy, we used an abdominal patch consisting of a transparent silicone foil (Perthese, Laboratories Perouse Implant, Borel, France) stitched to the muscular sheath, in order to allow observation of the evolution of the small bowel and decompression of the abdominal cavity (Fig. 2). Against all odds, the neonate improved clinically, with a progressive better coloration of the bowel visible through the silicone foil, thus the planned second look at day two was postponed. Seven days after the fi rst operation, re-exploration was undertaken: the small bowel was completely viable (Fig. 3). A Ladd's procedure with appendectomy was performed. Recovery was complete and uneventful. A follow-up of two years have shown no complications and an excellent evolution of a well thriving boy. DiscussionThis newborn with small bowel volvulus and with an appearance of severe ischemia of the totality of the small bowel was considered to have a very poor Use of a silicone patch in the management of severe ischemic small bowel volvulus A Dahl-Farhoumand, J Birraux, A Darani, BE WildhaberGeneva, Switzerland Fig. 1. Appearance of the ischemic intestine after more than 30 minutes of detorsion during the fi rst laparotomy.Fig. 2. The small bowel visible through the patch.Fig. 3. Appearance of the small bowel on laparotomy 7 days later.

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Intraoperative Colon Mucosal Oxygen Saturation During Aortic Surgery

Cited by 27 publications

References 25 publications

How to assess intestinal viability during surgery: A review of techniques

How to assess intestinal viability during surgery: A review of techniques

Enhanced Surgical Imaging: Laparoscopic Vessel Identification and Assessment of Tissue Oxygenation

Use of a silicone patch in the management of severe ischemic small bowel volvulus

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