Evidence map›Paper›PMID 32951071›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022

The role of bed-side laparoscopy in the management of acute mesenteric ischemia of recent onset in post-cardiac surgery patients admitted to ICU.

Carlo Bergamini, Giovanni Alemanno, Alessio Giordano, Desiré Pantalone, Giovanni Fontani, Anna Maria Di Bella, Veronica Iacopini, Paolo Prosperi, Jacopo Martellucci

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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.8field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 15 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. Acute mesenteric ischemia: diagnostic and therapeutic challenges.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  5. Review
  6. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 2 institutions in 1 country.

Carlo BergaminiDepartment of Emergency Surgery, University Hospital of Careggi, Largo Brambilla n° 3, 50134, Florence, Italy. drcarlobergamini@gmail.com.ORCID http://orcid.org/0000-0002-7277-6735
Giovanni AlemannoDepartment of Emergency Surgery, University Hospital of Careggi, Largo Brambilla n° 3, 50134, Florence, Italy.
Alessio GiordanoDepartment of Emergency Surgery, University Hospital of Careggi, Largo Brambilla n° 3, 50134, Florence, Italy.
Desiré PantaloneMedical School, Department of Surgery, University of Florence, Largo Brambilla n° 3, 50134, Florence, Italy.
Giovanni FontaniMedical School, Department of Surgery, University of Florence, Largo Brambilla n° 3, 50134, Florence, Italy.
Anna Maria Di BellaMedical School, Department of Surgery, University of Florence, Largo Brambilla n° 3, 50134, Florence, Italy.
Veronica IacopiniMedical School, Department of Surgery, University of Florence, Largo Brambilla n° 3, 50134, Florence, Italy.
Paolo ProsperiDepartment of Emergency Surgery, University Hospital of Careggi, Largo Brambilla n° 3, 50134, Florence, Italy.
Jacopo MartellucciDepartment of Emergency Surgery, University Hospital of Careggi, Largo Brambilla n° 3, 50134, Florence, Italy.
Azienda Ospedaliero-Universitaria Careggi · ITUniversity of Florence · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAcute mesenteric ischemia with non-occlusive mechanism (NOMI) is a possible complication after cardiac surgery in patients admitted to Intensive Care Unit (ICU). Since the diagnosis is often difficult with CT-scan, some authors have evaluated the role of bed-side diagnostic laparoscopy (DL). We aimed to contribute to this topic with a personal series.

methodsWe retrospectively evaluated patients admitted to ICU after cardiac surgery since 2009 up to 2019, successively operated on for a suspected NOMI of recent onset with non-conclusive CT. They were divided into laparoscopic (Ls) and laparotomic (Lt) group, depending on whether or not they had a DL. They were compared for the CT false-positive (FP) and true-positive (TP) rate and the surgical outcome.

resultsSeventy-three patients were enrolled. Lt included 30 patients (41%), Ls 43 (59%). The overall FP were 38 (52%), with a higher incidence in Ls. There was no difference in the mortality rate. The morbidity rate was higher in Lt, and especially in Lt-FP. The TP were 35 (47.9%). The mean operating time (OT) in the Lt-TP group was similar to the sum of the mean OT of the laparotomies plus that of the laparoscopies in the Ls-TP group. Conversely, when considering only laparotomic procedures, the Lt-TP had higher mean OT, such as an increased blood loss

conclusionsPost-cardiosurgical patients admitted to ICU have a relatively high rate of NOMI, in which CT-scan is often initially non-conclusive. Our data and those from the literature seem to show that in such cases bed-side DL may be an advantageous and safe procedure to avoid needless laparotomy and enables a more tailored open surgery.

Indexed as

Cardiac Surgical ProceduresLaparoscopyMesenteric IschemiaHumansIntensive Care UnitsIschemiaRetrospective StudiesAcute mesenteric ischemiaBed-side laparoscopyIntensive care unitNOMI

Identifiers

PMID32951071
OpenAlexW3087391492

What OpenQuestion holds

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Read underepoch 390

Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.