Bowel viability assessment during surgery (review of the literature)
The problem of bowel viability assessment during surgery is still opened. High value predictive and economically available technique is thought to decrease postoperative morbidity and mortality during elective and urgent abdominal surgery. To evaluate the available techniques for intraoperative bowe...
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2020-05-01
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| Series: | Вестник хирургии имени И.И. Грекова |
| Subjects: | |
| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/1251 |
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| author | A. A. Zacharenko M. A. Belyaev A. A. Trushin D. A. Zaytcev R. V. Kursenko |
| author_facet | A. A. Zacharenko M. A. Belyaev A. A. Trushin D. A. Zaytcev R. V. Kursenko |
| author_sort | A. A. Zacharenko |
| collection | DOAJ |
| description | The problem of bowel viability assessment during surgery is still opened. High value predictive and economically available technique is thought to decrease postoperative morbidity and mortality during elective and urgent abdominal surgery. To evaluate the available techniques for intraoperative bowel viability assessment, the search of Russian and foreign up-to-date literature was performed. Parameters of techniques are analyzed: intraoperative clinical application, invasiveness, objectivity and quantification of viability parameters, predictive value for necrosis and anastomotic leakage. There is still no standardised and available for every operative theatre method for bowel viability assessment during surgery. Numerous of techniques such as near-infrared fluorescence (NIR) angiography, using indocyanine green (ICG), optical coherence tomography (OCT), laser doppler flowmetry (LDF) are proposed to be more evaluated and perspective. Autofluorescence spectroscopy for NADH and flavoproteins seems to be a promising tool for early detection of nonviable bowel segments. |
| format | Article |
| id | doaj-art-a140fa8f6cd3401998ba63f6e8a1d0c2 |
| institution | Kabale University |
| issn | 0042-4625 |
| language | Russian |
| publishDate | 2020-05-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj-art-a140fa8f6cd3401998ba63f6e8a1d0c22025-08-20T04:00:33ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252020-05-011791828810.24884/0042-4625-2020-179-1-82-881107Bowel viability assessment during surgery (review of the literature)A. A. Zacharenko0M. A. Belyaev1A. A. Trushin2D. A. Zaytcev3R. V. Kursenko4Pavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityPavlov UniversityThe problem of bowel viability assessment during surgery is still opened. High value predictive and economically available technique is thought to decrease postoperative morbidity and mortality during elective and urgent abdominal surgery. To evaluate the available techniques for intraoperative bowel viability assessment, the search of Russian and foreign up-to-date literature was performed. Parameters of techniques are analyzed: intraoperative clinical application, invasiveness, objectivity and quantification of viability parameters, predictive value for necrosis and anastomotic leakage. There is still no standardised and available for every operative theatre method for bowel viability assessment during surgery. Numerous of techniques such as near-infrared fluorescence (NIR) angiography, using indocyanine green (ICG), optical coherence tomography (OCT), laser doppler flowmetry (LDF) are proposed to be more evaluated and perspective. Autofluorescence spectroscopy for NADH and flavoproteins seems to be a promising tool for early detection of nonviable bowel segments.https://www.vestnik-grekova.ru/jour/article/view/1251microcirculationbowel anastomotic leakagebowel viabilityautofluorescence |
| spellingShingle | A. A. Zacharenko M. A. Belyaev A. A. Trushin D. A. Zaytcev R. V. Kursenko Bowel viability assessment during surgery (review of the literature) Вестник хирургии имени И.И. Грекова microcirculation bowel anastomotic leakage bowel viability autofluorescence |
| title | Bowel viability assessment during surgery (review of the literature) |
| title_full | Bowel viability assessment during surgery (review of the literature) |
| title_fullStr | Bowel viability assessment during surgery (review of the literature) |
| title_full_unstemmed | Bowel viability assessment during surgery (review of the literature) |
| title_short | Bowel viability assessment during surgery (review of the literature) |
| title_sort | bowel viability assessment during surgery review of the literature |
| topic | microcirculation bowel anastomotic leakage bowel viability autofluorescence |
| url | https://www.vestnik-grekova.ru/jour/article/view/1251 |
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