Cited by 62Abdominal vascular conditions and treatmentsAppendicitis Diagnosis and ManagementIntestinal and Peritoneal Adhesions

Indications and procedures for second-look surgery in acute mesenteric ischemia

Meng, Xianzhi, Liu, Lianxin, Jiang, Hongchi·2010·Surgery Today

Abstract

Acute mesenteric ischemia (AMI) is a highly lethal clinical entity associated with high morbidity and mortality. Bowel necrosis often results, usually necessitating bowel resection; however, deciding on the extent of resection is problematic as accurate identification of ischemic bowel that may undergo subsequent infarction is difficult. Therefore, a second-look laparotomy after the first operation is usually recommended. While the second-look procedure is widely accepted, its optimal indications and mode are still controversial, raising questions such as "second-look or not?," "planned relaparotomy or relaparotomy on demand?," and "open or laparoscopic?" In this review we discuss the relevant literature and reassess the role of the second-look operation in the treatment of AMI.

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Crossref · 10.1007/s00595-009-4140-4

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  • Nationwide trends show that the number of patients undergoing a second-look operation for acute mesenteric ischemia has remained the same or decreased.

    “This is in contrast to nationwide trends that show the number of patients undergoing a second-look operation has remained the same or has decreased, with only a fraction of patients operated on for AMI undergoing a secondlook procedure.18,19”

    From Revascularization for acute mesenteric ischemia (2012) · cites this paper as [18]

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Authors
Meng, X., Liu, L., & Jiang, H.
Affiliations
Harbin Medical University (CN)
Venue
Surgery Today
Published
2010-07-30
Volume
40
Issue
8
Pages
700-705
ISSN
  • 0047-1909 (ISSN-L)
  • 0941-1291
  • 1436-2813
OpenAlex
W1974820131
Cited by
62
References
54
Citations by year
2024: 5 · 2023: 5 · 2022: 1 · 2021: 8 · 2020: 5 · 2019: 1 · 2018: 5 · 2017: 2 · 2016: 4 · 2015: 3 · 2014: 5 · 2013: 4 · 2012: 10
FWCI
1.02
Type
journal article
Language
en
Open access
closed
Locations
  • Surgery Today (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
  • Health Sciences › Medicine › Emergency Medicine › Appendicitis Diagnosis and Management
  • Health Sciences › Medicine › Surgery › Intestinal and Peritoneal Adhesions
Keywords
acute mesenteric ischemia, second-look laparotomy, intestinal necrosis, bowel resection, extent of resection, relaparotomy, laparoscopic surgery, surgical indications
MeSH terms
Acute Disease, Humans, Intestinal Diseases, Intestines, Ischemia, Mesenteric Arteries, Mesenteric Vascular Occlusion, Mesentery, Reoperation, Risk Factors, Endoscopy, Gastrointestinal, Second-Look Surgery

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