The role of bed-side laparoscopy in the management of acute mesenteric ischemia of recent onset in post-cardiac surgery patients admitted to ICU.
Carlo BergaminiGiovanni AlemannoAlessio GiordanoDesiré PantaloneGiovanni FontaniAnna Maria Di BellaVeronica IacopiniPaolo ProsperiJacopo MartellucciPublished in: European journal of trauma and emergency surgery : official publication of the European Trauma Society (2020)
Seventy-three patients were enrolled. Lt included 30 patients (41%), Ls 43 (59%). The overall FP were 38 (52%), with a higher incidence in Ls. There was no difference in the mortality rate. The morbidity rate was higher in Lt, and especially in Lt-FP. The TP were 35 (47.9%). The mean operating time (OT) in the Lt-TP group was similar to the sum of the mean OT of the laparotomies plus that of the laparoscopies in the Ls-TP group. Conversely, when considering only laparotomic procedures, the Lt-TP had higher mean OT, such as an increased blood loss CONCLUSIONS: Post-cardiosurgical patients admitted to ICU have a relatively high rate of NOMI, in which CT-scan is often initially non-conclusive. Our data and those from the literature seem to show that in such cases bed-side DL may be an advantageous and safe procedure to avoid needless laparotomy and enables a more tailored open surgery.
Keyphrases
- end stage renal disease
- minimally invasive
- ejection fraction
- cardiac surgery
- newly diagnosed
- chronic kidney disease
- prognostic factors
- computed tomography
- intensive care unit
- peritoneal dialysis
- liver failure
- acute kidney injury
- patient reported outcomes
- cardiovascular disease
- magnetic resonance imaging
- machine learning
- acute coronary syndrome
- coronary artery disease
- big data
- smoking cessation
- hepatitis b virus
- acute respiratory distress syndrome