Bellenis I P, Polychronis A B, Papaioannou A N
Am Surg. 1987 May;53(5):260-3.
It is possible to preserve ischemic intestinal segments, which currently are routinely resected, following superior mesenteric artery occlusion by exteriorizing them through the abdominal wall with De Martell clamps and observing them carefully. If the functional demands of an anastomosis are not imposed, the circulation of such segments will often be restored, and they will withstand successful anastomosis a few days later. If circulation fails to improve or deteriorates, prompt resection and possibly reexteriorization can be done without delay. Intestinal absorptive surface, crucial to subsequent survival may thus be saved.
在肠系膜上动脉闭塞后，通过用德马泰尔夹将缺血肠段经腹壁引出并仔细观察，有可能保留目前常规切除的缺血肠段。如果不施加吻合的功能要求，这些肠段的血液循环通常会恢复，并且几天后它们将能够承受成功的吻合。如果血液循环没有改善或恶化，可以立即进行及时切除并可能再次引出。这样，对后续生存至关重要的肠道吸收表面就可能得以保留。
