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International Journal of Surgery Science
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International Journal of Surgery Science
Vol. 5, Issue 1, Part E (2021)

A study of 25 patients on surgical management of acute mesenteric vascular thrombosis

Author(s): Dr. Rahul Parmar, Dr. Shailesh Rathod, Dr. Shailesh Parmar, Dr. Surendra Parmar and Dr. Asit R Sahu
Abstract:
Aim: To study outcome of surgical management of acute mesenteric vascular thrombosis like
Extent of disease
Extent of resection
Post–operative survival
Patients and Methods: This study of 25 cases of diagnosed with acute mesenteric vascular thrombosis (MVT) from September 2016 to October 2018 in department of surgery, civil hospital Ahmadabad.
Inclusion criteria: Patients with acute abdominal pain who is diagnosed as MVT in either on CT-scan or on exploration.
Exclusion criteria: Patient with non-occlusive mesenteric ischemia that did not require laparotomy. Patient with only portal vein thrombosis.
Results: Among 25 patients, 23 patients underwent exploratory laparotomy. Two patients were expired before surgery. In present study, maximum number of patients is in the age group 41-50 years. In 23 patients exploratory laparotomy was done based on their clinical feature with peritoneal signs with CECT-abdomen pelvis finding. Mortality rate was 64% in my study while 9 (36%) patients are in follow-up, so early diagnosis and decision of intervention has saved 36% of patients.
Conclusion: Mesenteric vascular thrombosis is one of the most lethal vascular disorders. So, this type of moribund conditions require urgent use of abdominal CT-Scan and increasing use of anti-coagulative medication improved the outcome in patients. This disease entity is lethal prompt decisions should be taken for patients survival.
Pages: 267-276  |  263 Views  119 Downloads
How to cite this article:
Dr. Rahul Parmar, Dr. Shailesh Rathod, Dr. Shailesh Parmar, Dr. Surendra Parmar, Dr. Asit R Sahu. A study of 25 patients on surgical management of acute mesenteric vascular thrombosis. Int J Surg Sci 2021;5(1):267-276. DOI: https://doi.org/10.33545/surgery.2021.v5.i1e.622
International Journal of Surgery Science