Journal
PEDIATRIC SURGERY INTERNATIONAL
Volume 17, Issue 2-3, Pages 120-121Publisher
SPRINGER-VERLAG
DOI: 10.1007/s003830000484
Keywords
pulse oximetry; volvulus; intestinal ischaemia
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The intra-operative assessment of intestinal viability when dealing with ischaemic bowel remains a challenge. Reliable healing of small-bowel anastomoses, using pulse oximetry to exclude critical ischaemia. has been shown in the canine model. In this study, intra-operative pulse oximetry (PO) was used to help determine intestinal viability 48 h after de-torsion of a volvulus. Approximately one-half of the ischaemic, volved bowel was able to be preserved. Intraoperative PO can thus help preserve bowel of doubtful viability.
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