Hemodynamics, fluids & transfusion

Mesenteric traction syndrome — Incidence, impact, and treatment: A systematic scoping review of the literature

Anaesth Crit Care Pain MedPublished Systematic scoping review

Authors' conclusion

MTS occurs in 76% of patients undergoing major abdominal surgery and is associated with deleterious haemodynamic effects, which are more pronounced in patients developing severe MTS. Severe MTS is also associated with a worse postoperative outcome.

Study context

Population
Human studies of mesenteric traction syndrome (MTS) in patients undergoing major or open abdominal surgery
Participants
1,102 participants · 37 studies
Outcome
Incidence of MTS
Methodological detailsPRISMA guidelines, risk of bias assessed by two independent reviewers
  • PRISMA guidelines
  • Risk of bias assessed by two independent reviewers

Main finding

As reported in the abstract

Combined incidence of MTS during open abdominal surgery

MTS incidence

76%

Severe MTS

35%

Further findings

Haemodynamics

MTS associated with marked haemodynamic changes

Diagnostic criteria

Several different subjective diagnostic criteria exist

Postoperative morbidity

Severe MTS associated with increased postoperative morbidity

Preventative measures

Several examined, only on MTS incidence, not on postoperative course

Original publication

Mesenteric traction syndrome — Incidence, impact, and treatment: A systematic scoping review of the literature. Anaesth Crit Care Pain Med. Published 23 September 2022. doi:10.1016/j.accpm.2022.101162

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