Second-Look Laparotomy, the Open Abdomen, and Temporary Abdominal Closure in Acute Mesenteric Ischemia

摘要: Repeat or “second-look” laparotomy is an important principle in the management of acute mesenteric ischemia. Planned re-exploration abdomen following initial operation for this condition allows confirmation bowel perfusion and viability. In some scenarios, multiple, repeat laparotomies may be performed to assure that adequate nonviable segments have been removed. Despite importance second-look procedures as part clinical scenario, challenges considerations must understood optimize its efficacy reduce complications. This chapter reviews reasoning indications operations setting ischemia describes techniques procedure. The effect on maintaining abdominal domain reviewed, a summary temporary definitive closure provided.