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01-01-2014 | Invited Commentary

Mandatory Resection of Strangulation Marks in Small Bowel Obstruction?

Author: Eli Mavor

Published in: World Journal of Surgery | Issue 1/2014

Excerpt

During operations for small bowel obstruction, the assessment of small bowel viability, including strangulation marks from adhesive bands or hernia rings, is based traditionally on the operating surgeon’s experience and clinical judgment [1]. It is prudent to exercise a low threshold of suspicion of bowel wall ischemia and resect questionably viable bowel to avoid the catastrophic sequela of missed intestinal wall injury [2]. Unfortunately, very often such decisions are made by less experienced surgeons during nighttime operations. …

Horgan PG, Gorey TF (1992) Operative assessment of intestinal viability. Surg Clin North Am 72:143–155PubMed

Duron JJ, du Montcel ST, Berger A et al (2008) Prevalence and risks factors of mortality and morbidity after operation for adhesive postoperative small bowel obstruction. Am J Surg 195:726–734PubMedCrossRef

Käser S, Willi N, Maurer C (2013) Mandatory resection of strangulation marks in small bowel obstruction? World J Surg. doi: 10.1007/s00268-013-2248-6

Title: Mandatory Resection of Strangulation Marks in Small Bowel Obstruction?
Author: Eli Mavor
Publication date: 01-01-2014
Publisher: Springer US
Published in: World Journal of Surgery / Issue 1/2014
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-013-2298-9

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Mandatory Resection of Strangulation Marks in Small Bowel Obstruction?

Excerpt

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