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Minerva Chirurgica 2003 February;58(1):71-6

language: Italian

Prevention of ischemic colitis following aortic reconstruction: personal experience on the role of transmural oximetry in the decision inferior mesenteric artery reimplantation

Panier Suffat L., Tridico F., Rebecchi F., Bianco A., Monticone C., Lanza S., Calello G., Contessa L., Giaccone C., Panier Suffat P.


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Background. The colonic ischemic necrosis is one of the most serious complication in the surgical reconstruction of abdominal aorta aneurysm (AAA) due to surgical unappropriate binding of the inferior mesenteric artery (IMA).
Methods. A retrospective analyzed of a group of 118 infrarenal AAA surgically treated is presented.
Results. The most common cause of ischemic colitis (75% of cases) is the surgical binding of an opened IMA or its failed reimplantation.
Conclusions. In this paper according to their personal experience and the literature data, the authors outline a diagnostic behaviour to select the patients needing the reimplantation of IMA; they suggest to complete the pre operative information with an instrumental evaluation during the surgical treatment.

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