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

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Anadol A. Z. , Ersoy E., Taneri F., Tekin E.

SURGICAL LAPAROSCOPY ENDOSCOPY & PERCUTANEOUS TECHNIQUES, vol.14, no.4, pp.191-193, 2004 (Journal Indexed in SCI) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 14 Issue: 4
  • Publication Date: 2004
  • Doi Number: 10.1097/01.sle.0000136677.39377.62
  • Page Numbers: pp.191-193


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 = 4 1), abdomen was closed and second-look laparotomy was performed to 23 patients. In the second group (n = 36), a 10-min 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 reresection while 20 patients (87%) were rescued from unnecessary laparotomics. Conclusively, patients with mesenteric ischemia are "ill enough" to deserve the "minimal invasion" spirit of laparoscopic surgery.