Akira Endo, Fumitaka Saida, Yuzuru Mochida, Shiei Kim, Yasuhiro Otomo, Daisuke Nemoto, Hisahiro Matsubara, Shigeru Yamagishi, Yoshinori Murao, Kazuki Mashiko, Satoshi Hirano, Kentaro Yoshikawa, Toshiki Sera, Mototaka Inaba, Hiroyuki Koami, Makoto Kobayashi, Kiyoshi Murata, Tomohisa Shoko, Noriaki Takiguchi
BACKGROUND: There has been insufficient evidence regarding a treatment strategy for patients with non-occlusive mesenteric ischemia (NOMI) due to the lack of large-scale studies. We aimed to evaluate the clinical benefit of strategic planned relaparotomy in patients with NOMI using detailed perioperative information. METHODS: We conducted a multicenter retrospective cohort study that included NOMI patients who underwent laparotomy. In-hospital mortality, 28-day mortality, incidence of total adverse events, ventilator-free days, and intensive care unit (ICU)-free days were compared between groups experiencing the planned and on-demand relaparotomy strategies...
July 2021: Journal of Gastrointestinal Surgery