Evaluation of damage-control surgery in cases of acute mesenteric ischemia for salvaging small bowel length

• DOI: 10.21608/ejsur.2024.357113
• Publication Date: 2024-07-06T10:56:03Z
• Authors: Ahmed M. Hanafy; Mohamed A. Nada; Essam F. Ebied; Kareem A. Kamel
• Keywords: Damage Control Surgery; Mesenteric Ischemia

Background: In the context of acute mesenteric ischemia (AMI), extent bowel resection poses a surgical complexity due to potential exacerbation postsurgery. Consequently, employing damage-control surgery (DCS) alongside subsequent second-look operation presents an opportunity effectively address critical state patient and evaluate viability after resuscitative measures.Objectives: Evaluate role DCS in salvaging small segments that were doubtful during primary necrotic bowel. Assess overall morbidity mortality.Patients Methods: A prospective cohort study conducted at Ain-Shams University Hospitals. total 29 patients admitted our department with diagnosis AMI underwent DCS. Twenty-two hemodynamically unstable intraoperatively, seven stable. They evaluated regarding saving length from mortality.Results: for diffuse ill-defined margins gangrenous bowel; all passed without stump blowout, further previously query ischemic done 22 (75.9%) patients, reaching up 18 cm. Three (10.3%) had anastomotic leakage has been managed conservatively; one them enterocutaneous fistula resolved over 6 weeks.Conclusion: The strategy (abbreviated laparotomy) offers significant advantages demonstrates commendable outcomes among indistinct margins. This approach notably contributes preserving reducing mortality rates affected patients.