Between definitive resection and damage control observation: a case series analysis of intraoperative decision-making for portal venous gas - Takeaways - MDSpire

Between definitive resection and damage control observation: a case series analysis of intraoperative decision-making for portal venous gas

  • By

  • Fengqi Ruan

  • Yongen Liu

  • Shuai Wang

  • June 24, 2026

  • 0 min

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  • 1

    The study analyzed four patients with portal venous gas (PVG) and acute abdomen who underwent exploratory laparotomy.

  • 2

    Patients were classified into definitive resection or damage control observation based on intraoperative intestinal viability.

  • 3

    In the definitive resection group, two patients underwent bowel resection due to confirmed transmural necrosis.

  • 4

    The damage control observation group preserved ischemic bowel segments and experienced more postoperative complications.

  • 5

    All patients survived to discharge, highlighting the importance of intraoperative assessment in managing PVG.

Original Source(s)

Between definitive resection and damage control observation: a case series analysis of intraoperative decision-making for portal venous gas

  • by Fengqi Ruan, Yongen Liu, Shuai Wang

  • June 24, 2026

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