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العنوان
The efficacy of wireless sterilizable pulse oximeter in assessment of bowel viability during surgery /
الناشر
Vijay Pratap Sah ,
المؤلف
Vijay Pratap Sah
هيئة الاعداد
باحث / Vijay Pratap Sah
مشرف / Ahmed Farag Ahmed Farag
مشرف / Abdrabou Nagdy Abdelfatah Mashhour
مشرف / Haitham Soliman Elsayed Omar
تاريخ النشر
2018
عدد الصفحات
83 P. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
23/9/2019
مكان الإجازة
جامعة القاهرة - كلية الطب - General Surgery
الفهرس
Only 14 pages are availabe for public view

from 84

from 84

Abstract

Introduction: Mortality related to Intestinal ischemia remains very high. Patient survival depends on prompt recognition in dealing with the ischemic part either by revascularization or excision. Furthermore, if intestinal ends that are not perfectly vascularized, are anastomosed, this anastomosis is bound to fail resulting in peritonitis. Thus; exact determination of the borderline of the viable bowel with the help of an objective test could result in a decrease of postoperative ischemic complications. Aim of the study: The aim of the present prospective study was to assess the capability of the portable wireless sterilizable pulse oximeter in detection and discrimination between viable and non-viable intestine intra-operatively prior to establishment of stomas or intestinal anastomosis. Patients and Methods: This was a prospective study that involved 40 patients in whom there was possibility of Acute Intestinal Ischemia. All the 40 patients were evaluated by pulse oximeter to assess the viability of the proximal and the distal end of the intestine. Of the 40 patients, the first 10 were evaluated by the Fluorescein dye too, to assess the intestinal viability. Here fluorescein is used as a well-established method to validate the new technique of pulse oximeter