Revisiting abdominal closure in mesenteric ischemia: is there an association with outcome?

Proaño-Zamudio, Jefferson A.; Argandykov, Dias; Renne, Angela; Gebran, Anthony; Dorken-Gallastegi, Ander; Paranjape, Charudutt; Kaafarani, Haytham M.A.; King, David R.; Velmahos, George C.; Hwabejire, John O.

doi:10.1007/s00068-022-02199-0

Cited by 4 publications

(2 citation statements)

References 23 publications

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“…Historically, up to 50% of patients require additional intestinal resection at relaparotomy 20 . However, studies examining this two-step therapy have revealed mixed survival benefits 21–23 …”

Section: Acute Mesenteric Ischemiamentioning

confidence: 99%

“…20 However, studies examining this two-step therapy have revealed mixed survival benefits. [21][22][23] Given the discrepancies in previous studies and the various etiologies of intestinal ischemia (arterial occlusion, mesenteric venous thrombosis, nonocclusive mesenteric ischemia) the use of DCS is appropriate in most cases. In addition to physiologic derangement, the concomitant presence of intra-abdominal sepsis and the significant uncertainly regarding the viability of the remaining intestine both indicate the need for an OA and planned reexploration.…”

Section: Acute Mesenteric Ischemiamentioning

confidence: 99%

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Damage control surgery in emergency general surgery: What you need to know

Risinger

Smith

2023

J Trauma Acute Care Surg

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Damage control surgery (DCS) is a strategy adopted to limit initial operative interventions in the unstable surgical patient, delaying definitive repairs and abdominal wall closure until physiologic parameters have improved. Although this concept of "physiology over anatomy" was initially described in the management of severely injured trauma patients, the approaches of DCS have become common in the management of non-traumatic intra-abdominal emergencies. While the utilization of damage control methods in emergency general surgery (EGS) is controversial, numerous studies have demonstrated improved outcomes, making DCS an essential technique for all acute care surgeons. Following a brief history of DCS and its indications in the EGS patient, the phases of DCS will be discussed including an in-depth review of preoperative resuscitation, techniques for intra-abdominal source control, temporary abdominal closure, ICU management of the open abdomen, and strategies to improve abdominal wall closure.

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Section: Acute Mesenteric Ischemiamentioning

confidence: 99%