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Laparotomi vid akut tarmischemi - tänk efter före!
Engelsk titel: Laparotomy in acute intestinal ischemia - think before you act! Läs online Författare: Hallböök, Olof Språk: Swe Antal referenser: 7 Dokumenttyp: Översikt UI-nummer: 13017784

Tidskrift

Läkartidningen 2012;109(49-50)2288-9 ISSN 0023-7205 E-ISSN 1652-7518 KIBs bestånd av denna tidskrift Denna tidskrift är expertgranskad (Peer-Reviewed)

Sammanfattning

At laparotomy for acute bowel ischemia the well established principles of damage-control surgery should be followed. In selected patients with CT-verified occlusion of the SMA and without signs of peritonitis, endovascular treatment can be a favourable alternative to laparotomy and open embolectomy. Clinical judgement is still the method of choice to determine the viability of the bowel during the operation. Liberal use of second-look procedures is recommended. Abbreviated surgery include the omission of anastomoses and suturing of the abdominal wall. Temporary closure with a Bogota-bag or similar techniques reduces operating time, traumatization of the abdominal wall och reduces the risk of abdominal compartment syndrome.