subject: Mesenteric Artery Thrombosis Surgery India, Mesenteric Artery Thrombosis Surgery, Mesenteric Artery Thrombosis Treatment [print this page] Treatment for mesenteric artery thrombosis in India is now being provided to the patients from all over the world with latest facilities and globally benchmarked healthcare services administered by surgeons and physicians trained in international medical practices. Indian hospitals are well equipped to provide a comprehensive range of treatments for mesenteric artery thrombosis. Treatment ofmesenteric artery thrombosis in India is provided at hospitals having a team of highly-trained doctors of international repute and research analysts working together to develop newer treatment approaches and using them for effective patient cure and care. With the use of advanced medical technology and newly invented techniques the recovery time after surgery is shortened and within very short period time frame patient becomes fit and return back to work.
Mesenteric Artery Thrombosis
A patient with acute mesenteric artery thrombosis presents with acute-onset abdominal pain. The patient may give a history of postprandial pain, typically occurring 10-20 minutes after eating and lasting up to an hour. The pain is diffuse, and the patient may complain of bloody stools. Typically, the patient has a history of other arterial involvement such as recent myocardial infarction (MI) or peripheral vascular disease.
Medical Therapy
Acute mesenteric artery thrombosis cannot be cured medically. If vasospasm is observed on arteriogram, intra-arterial papaverine may be started to improve flow, but it is not curative. Commence anticoagulation therapy immediately upon diagnosis. Thrombolytics have shown no benefit.
Surgical Therapy
Surgical treatment of Mesenteric artery thrombosis involves exploratory laparotomy, followed by identification of the involved artery and bowel. Because thrombosis occurs at the origin of the vessel, the entire small bowel and proximal large bowel appear ischemic. In contradistinction, embolization of the SMA results in the proximal jejunum being spared, reflecting the more distal occlusion. Remove dead bowel and attempt reanastomosis. Open the affected artery and perform an endarterectomy.
Bypass techniques may also be performed using prosthetic grafts. If a patient is found to have perforated bowel on laparotomy, use an autogenous saphenous vein graft because of the decreased risk of graft infection.
Endovascular therapies have been described for chronic mesenteric ischemia, and some authors have tried thromboaspiration.The criterion standard remains operative exploration to allow assessment of bowel viability.
Postoperative Details
Postoperative care should include close monitoring of blood pressure and hemoglobin level to evaluate for sepsis or hemorrhage.
Patients should continue to have postoperative heparin anticoagulation therapy in order to reduce thrombotic events, and papaverine may be administered to reduce vasospasm. Perform a 12-lead electrocardiogramto evaluate for myocardial dysfunction.
Patients can be expected to have a postoperative ileus due to bowel reperfusion.
Follow-up
Monitor patients closely because of the high likelihood of vascular disease in the rest of the arterial tree.
Determine cardiac and renal status at follow-up. Carotid duplex studies may be necessary if diffuse atherosclerotic disease is a strong possibility.
Why India?
Treatment ofmesenteric artery thrombosis in India is provided at internationally recognized hospitals using most advanced technology or service. India is the largest medical tourism hub, quality of care and easy travel makes it a popular overseas health care destination for people who are seeking comprehensive surgery abroad. Medical tourism in India works in collaboration with the best internationally renowned hospitals to make your treatment in India a successful and hassle free process.
