Tridico F, Panier Suffat P, Zan S, Rebecchi F, Contessa L
Istituto di Clinica Chirurgica e Terapia Chirurgica, Università degli Studi, Torino.
Minerva Chir. 1996 Sep;51(9):739-43.
The authors report two cases of colorectal ischemic necrosis following surgical reconstruction of abdominal aorta. An intestinal resection according to Hartmann was performed in both cases. The value of prevention based on a careful anamnesis, on a precise angiography study of the abdominal aorta and of splanchnic circle in addition to inferior mesenteric artery reimplantation, when advisable, is underlined as the most effective therapeutic instrument against colorectal ischemic necrosis following surgical reconstruction of the abdominal aorta.
作者报告了两例腹主动脉手术重建后结直肠缺血性坏死的病例。两例均按照哈特曼手术进行了肠切除。强调了基于仔细问诊、对腹主动脉和内脏循环进行精确血管造影研究以及在可行时进行肠系膜下动脉再植术的预防措施,作为预防腹主动脉手术重建后结直肠缺血性坏死的最有效治疗手段。