KẾT QUẢ SỚM PHẪU THUẬT NHỒI MÁU RUỘT DO TẮC MẠCH MẠC TREO RUỘT

Abstract

Aims: To eValuate early results of surgical treatment of acute mesenteric sichemia. Methods: Charts of patients who had acute mesenteric ischemia operated at 115 People’s Hospital between January 2018 and August 2022 were reViewed. Definite diagnosis was based on operatiVe findings. Results: There were 47 patients including 22 males and 25 females with the mean age of 63 years (range 25 – 97 years). 34 patients had mesenteric Venous thrombose and 13 patients had mesenteric embolism. Computed tomography detect 80,9% mesenteric Vascular

occclusion, 100% bowel wall less contrast enhancement and mesenteric fat edema. The time from symptom onset to surgery was 3,57 ± 3,56 days. Bowel necrosis: 80,9% small instesine, 10,6% small instestine and colon, 8,5% colon. Surgical methods: bowel resection, immediate anastomosis (68,1%), bowel resection and ostomy (31,9%). The lemmgth of necrotic intestine was 109,26 ± 83,38 cm. 3 complcations after surgery had continued necrosis. Mean hospital stay was 8,57 ± 4,27 days (range 1-22 days). 10 patients died postoperatiVely (21,3%). Factors likely to increase mortality were cause of Vascular occlusion, chronic kidney disease, and seVerity of necrosis of the small intestine and colon. Conclusions: Treatment of acute mesenteric ischemia is still a challeng. Eraly diagnosis and timely operation are necessary to improVe outcome.