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Biomedical

Surgical mortality in patients in extremis: futility in emergency abdominal surgery

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Camilo Ramírez-Giraldo,

Camilo Ramírez-Giraldo


Andrés Isaza-Restrepo,

Andrés Isaza-Restrepo


Juan Camilo García-Peralta,

Juan Camilo García-Peralta


Juliana González-Tamayo,

Juliana González-Tamayo


Milcíades Ibáñez-Pinilla

Milcíades Ibáñez-Pinilla


  Peer Reviewed

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© attribution CC-BY

  • 0

rating
497 Views

Added on

2024-12-08

Doi: https://doi.org/10.1186/s12893-022-01897-1

Related Subjects
Anatomy
Biochemistry
Epidemiology
Genetics
Neuroscience
Psychology
Oncology
Medicine
Musculoskeletal science
Pediatrics
Pathology
Pharmacology
Physiology
Psychiatry
Primary care
Women and reproductive health

Abstract

This scoping review evaluates the prognostic impact and describes suturing tools for mesenteric closure after laparoscopic right hemicolectomy (LRH). A systematic search of medical databases identified 7 relevant publications. The evidence does not support routine closure of mesenteric defects after LRH. Use of polymer ligation clips showed promising results in a small trial, but further research is needed. There were no significant differences found in postoperative complications or reoperation rates between patients who had mesenteric closure versus those who did not. The review concludes that mesenteric closure cannot be recommended as a routine procedure, and large randomized controlled trials are still warranted to provide more definitive evidence.

Key Questions

1. What is laparoscopic surgery?

Laparoscopic surgery is a minimally invasive surgical technique that uses small incisions and specialized instruments to perform procedures, including right hemicolectomy. This review focuses on mesenteric closure after laparoscopic right hemicolectomy.

2. How long does laparoscopic surgery take?

While this review does not specifically address surgery duration, it notes that mesenteric closure can prolong operation time, which is one reason it is not recommended as a routine procedure after laparoscopic right hemicolectomy.

3. What are the benefits of laparoscopic surgery?

The review mentions that laparoscopy is commonly used in colorectal surgery due to advantages over open surgery, though it does not elaborate on specific benefits.

4. How much does laparoscopic surgery cost?

This review does not discuss the costs associated with laparoscopic surgery or mesenteric closure procedures.

5. What is mesenteric closure in laparoscopic right hemicolectomy?

Mesenteric closure is the process of closing defects in the mesentery created during laparoscopic right hemicolectomy. It may potentially prevent internal hernias caused by the small intestine passing through these defects.

6. Does mesenteric closure reduce complications after laparoscopic right hemicolectomy?

The review found no significant differences in postoperative complications or reoperation rates between patients who had mesenteric closure and those who did not after laparoscopic right hemicolectomy.

7. What tools are used for mesenteric closure in laparoscopic right hemicolectomy?

The review discusses several tools for mesenteric closure, including polymer ligating clips, barbed sutures, and non-absorbable sutures. Polymer ligating clips showed promising results in a small trial.

8. Is routine mesenteric closure recommended after laparoscopic right hemicolectomy?

Based on current evidence, the review concludes that mesenteric closure cannot be recommended as a routine procedure after laparoscopic right hemicolectomy, primarily due to the prolongation of operation time.

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ARTICLE USAGE


Article usage: Dec-2024 to May-2025
Show by month Manuscript Video Summary
2025 May 149 149
2025 April 72 72
2025 March 65 65
2025 February 65 65
2025 January 104 104
2024 December 42 42
Total 497 497
Show by month Manuscript Video Summary
2025 May 149 149
2025 April 72 72
2025 March 65 65
2025 February 65 65
2025 January 104 104
2024 December 42 42
Total 497 497
Related Subjects
Anatomy
Biochemistry
Epidemiology
Genetics
Neuroscience
Psychology
Oncology
Medicine
Musculoskeletal science
Pediatrics
Pathology
Pharmacology
Physiology
Psychiatry
Primary care
Women and reproductive health
copyright icon

© attribution CC-BY

  • 0

rating
497 Views

Added on

2024-12-08

Doi: https://doi.org/10.1186/s12893-022-01897-1

Related Subjects
Anatomy
Biochemistry
Epidemiology
Genetics
Neuroscience
Psychology
Oncology
Medicine
Musculoskeletal science
Pediatrics
Pathology
Pharmacology
Physiology
Psychiatry
Primary care
Women and reproductive health

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