The possibilities of laser Doppler flowmetry for the estimation of the intestine resection volume by the acute mesenteric ischemia

Khripun A.I.

Kafedra khirurgii i éndoskopii FUV Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova

Priamikov A.D.

Kafedra khirurgii i éndoskopii FUV Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova;
Gorodskaia klinicheskaia bol'nitsa #12, Moskva, Rossiia

Shurygin S.N.

Gorodskaia klinicheskaia bol'nitsa #12, Moskva, Rossiia

Mironkov A.B.

GUZ "Gorodskaia klinicheskaia bol'nitsa #12" DZ Moskvy

Petrenko N.V.

Gorodskaia klinicheskaia bol'nitsa #12, Moskva

Grigor'eva S.G.

Gorodskaia klinicheskaia bol'nitsa #12, Moskva

Latonov V.V.

Gorodskaia klinicheskaia bol'nitsa #12, Moskva, Rossiia

Abashin M.V.

Kafedra khirurgii i éndoskopii FUV Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova

Izvekov A.A.

gorodskaia klinicheskaia bol'nitsa #12, Moskva

The possibilities of laser Doppler flowmetry for the estimation of the intestine resection volume by the acute mesenteric ischemia

Authors:

Khripun A.I., Priamikov A.D., Shurygin S.N., Mironkov A.B., Petrenko N.V., Grigor'eva S.G., Latonov V.V., Abashin M.V., Izvekov A.A.

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Journal: Pirogov Russian Journal of Surgery. 2012;(10): 40‑44

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To cite this article:

Khripun AI, Priamikov AD, Shurygin SN, et al. . The possibilities of laser Doppler flowmetry for the estimation of the intestine resection volume by the acute mesenteric ischemia. Pirogov Russian Journal of Surgery. 2012;(10):40‑44. (In Russ.)

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The results of the surgical treatment of the acute mesenteric ischemia in 2 groups of patients were comparatively analyzed. The control group (n=52) experienced the traditional way and criteria of detecting the volume of intestinal resection (color and peristaltic activity, arterial pulsation). For the main group (n=57) the intraoperative estimation of the intestinal viability was perfomed with the help of laser Doppler flowmetry. As a result, the postoperative intestinal gangrene rate was 9.1% among patients of the main group, whereas the complication was registered among 48.6% of the control group. The main group of patients demonstrated the overall lower rate of postoperative complications in comparison with the control group: 67.6 and 40.9% (p=0.01), respectively. The same picture was for the lethality rate: 76.9 and 52.6% (p=0.03), respectively.

Keywords:

acute mesenteric ischemia

bowel resection

laser Doppler flowmetr

Authors:

Khripun A.I.

Kafedra khirurgii i éndoskopii FUV Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova

Priamikov A.D.

Kafedra khirurgii i éndoskopii FUV Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova;
Gorodskaia klinicheskaia bol'nitsa #12, Moskva, Rossiia

Shurygin S.N.

Gorodskaia klinicheskaia bol'nitsa #12, Moskva, Rossiia

Mironkov A.B.

GUZ "Gorodskaia klinicheskaia bol'nitsa #12" DZ Moskvy

Petrenko N.V.

Gorodskaia klinicheskaia bol'nitsa #12, Moskva

Grigor'eva S.G.

Gorodskaia klinicheskaia bol'nitsa #12, Moskva

Latonov V.V.

Gorodskaia klinicheskaia bol'nitsa #12, Moskva, Rossiia

Abashin M.V.

Kafedra khirurgii i éndoskopii FUV Rossiĭskogo natsional'nogo issledovatel'skogo meditsinskogo universiteta im. N.I. Pirogova

Izvekov A.A.

gorodskaia klinicheskaia bol'nitsa #12, Moskva

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