Bekker et al reported an intraoperative grading system for mesenteric injury following blunt trauma. The authors are from the University of KwaZulu Natal (South Africa), Mayo Clinic, and University of Witwatersrand (South Africa).
Patient selection: blunt abdominal trauma
Exam: intra-operative assessment
Parameters:
(1) hemorrhage
(2) mesentery injury
(3) bowel viability
Hemorrhage
Mesentery
Bowel Viability
Grade
none
peritoneum intact
viable
0
contusion or hematoma
peritoneum intact
viable
I
exposed blood vessels
< 1 cm tear
viable
II
active bleeding
tear into mesenteric substance with gaping mesenteric fat
viable
III
bleeding and/or thrombosis
mesenteric defect through which daylight visible
questionable
IV
bleeding and/or thrombosis
avulsion injury
non-viable
V
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