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Cited by 30Abdominal vascular conditions and treatmentsMinimally Invasive Surgical TechniquesAbdominal Surgery and Complications

Laparoscopic "second-look" in the management of mesenteric ischemia

Anadol, A Ziya, Ersoy, Emin, Taneri, Ferit, Tekin, Ercüment H·2004·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
DOI 10.1097/01.sle.0000136677.39377.62
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Abstract

Mesenteric ischemia is a major cause of mortality in surgery. Despite the advances in medicine, considerable number of patients undergoes reoperations for a better assessment of intestinal viability. Although great majority of these second-look operations are "negative explorations," progressive nature of this devastating disease pushes surgeons to re-explore the abdomen. This study compares open and laparoscopic "second-look" procedures in patients with mesenteric ischemia. In the first group (n = 41), abdomen was closed and second-look laparotomy was performed to 23 patients. In the second group (n = 36), a 10-mm trocar was inserted before closing the abdomen and second-look intervention was performed by a telescope to 23 patients. Sixteen of relaparotomies in the first group (70%) revealed nothing and were unnecessary. Two patients (8%) in the laparoscopy group needed re-resection while 20 patients (87%) were rescued from unnecessary laparotomies. Conclusively, patients with mesenteric ischemia are "ill enough" to deserve the "minimal invasion" spirit of laparoscopic surgery.

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Crossref · 10.1097/01.sle.0000136677.39377.62

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Authors
Anadol, A. Z., Ersoy, E., Taneri, F., & Tekin, E. H.
Affiliations
Gazi University (TR)
ORCID
Venue
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2004-08
Volume
14
Issue
4
Pages
191-193
ISSN
1530-4515 (ISSN-L)
DOI
10.1097/01.sle.0000136677.39377.62
OpenAlex
W2027591488
Cited by
30
References
13
Citations by year
2026: 1 · 2024: 1 · 2023: 2 · 2022: 1 · 2021: 2 · 2017: 2 · 2016: 1 · 2015: 1 · 2014: 3 · 2013: 1
FWCI
1.58
Type
journal article
Language
en
Open access
closed
Locations
  • Surgical Laparoscopy Endoscopy & Percutaneous Techniques (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Surgery › Abdominal vascular conditions and treatments
  • Health Sciences › Medicine › Surgery › Minimally Invasive Surgical Techniques
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Abdominal Surgery and Complications
Keywords
mesenteric ischemia, second-look laparoscopy, second-look laparotomy, intestinal viability assessment, reoperation, re-resection, minimally invasive surgery
MeSH terms
Humans, Ischemia, Laparotomy, Mesentery, Retrospective Studies, Comorbidity, Thrombectomy, Disease Progression, Second-Look Surgery

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