Articolul precedent |
Articolul urmator |
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SM ISO690:2012 CRĂCIUN, Ion, GHIDIRIM, Gheorghe, MISHIN, Igor. Second look laparatomy in the treatment of acute mesenteric venous ischemia. In: Cercetarea în biomedicină și sănătate: calitate, excelență și performanță, Ed. 1, 20-22 octombrie 2021, Chişinău. Chișinău, Republica Moldova: 2021, p. 271. ISBN 978-9975-82-223-7 (PDF).. |
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Cercetarea în biomedicină și sănătate: calitate, excelență și performanță 2021 | ||||||
Conferința "Cercetarea în biomedicină și sănătate: calitate, excelență și performanță" 1, Chişinău, Moldova, 20-22 octombrie 2021 | ||||||
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Pag. 271-271 | ||||||
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Background. Acute mesenteric venous thrombosis (AMVT) - is a rare pathology, which is ≈1 / 1000 cases of acute surgical pathology with lethality up to 25% according to the literature. Objective of the study. To optimize surgical treatment of acute mesenteric venous ischemia (AMVI). Material and Methods. 75 cases of AMI were analyzed. In 12 (16%) cases, TMVA was determined, the ratio M: F = 1.2: 1, mean age - 51.1 ± 5.2 years (95% CI: 39.51–62.85). Intraoperative revision - TMVA with involvement of jejunum (n = 3), ileum (n = 5) and jejunum + ileum (n = 3). Results. The principle of second look laparatomy (SLL) - initiated in the absence of clear delimitation of the segment with venous infarction, systemic heparin therapy is applied starting with the intraoperative period, repeated revision with bowel resection and application of anastomosis or finding of total venous AMVI regression, was used in 6 patients - 50% cases of venous AMVI. Postoperative lethality was zero. As an etiology of AMVT, it was established that hereditary thrombophilia predominated statistically significant (p = 0.0003), including antithrombin deficiency III (n = 7), C and protein S deficiency (n = 3). In all cases, patients were included in the permanent anticoagulant therapy protocol. Conclusion. The SLL in case of venous AMVI significantly reduces the postoperative mortality rate and the volume of the resected intestine, compared to the standard methodolo |
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Cuvinte-cheie enous MVI, second-look laparotomy, IMA venoasa, second look laparatomy |
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