REVIEW ARTICLE
Open abdomen in acute mesenteric ischemia
1
Department of Clinical Sciences, Vascular Centre, Lund University, Malmö, Sweden
2
Heart Center, Kuopio University Hospital, Kuopio, Finland
Publication date: 2019-06-28
Anaesthesiol Intensive Ther 2019;51(2):159-162
KEYWORDS
open abdomenacute mesenteric ischemiasuperior mesentericartery occlusionperitonitisintestinal revascularizationdamage control laparotomy
ABSTRACT
In acute mesenteric ischemia, early diagnosis should optimally be followed by either open or endovascular intestinal revascularization. All too often, diagnosis is delayed and diagnosis and treatment are performed at the same time during explorative laparotomy. The majority of patients will be diagnosed when transmural intestinal infarction has developed and at this time point damage control strategies involving intestinal revascularization, bowel resection, open abdomen and second look may be necessary to salvage the patient. This review outlines the principles of the damage control surgery approach in acute mesenteric ischemia and the rationale for temporary open abdomen. In patients in need of long-term open abdomen therapy, negative pressure wound therapy with continuous fascial traction is a preferred technique achieving a high delayed fascial closure rate.
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| eISSN: | 1731-2531 |
| ISSN: | 1642-5758 |
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