“…A major limitation of this study is that intraoperative clinical judgment was used in the determination of intestinal gangrene, which may have overestimated the presence of gangrene compared to other techniques such as fluorescence or laser Doppler ultrasound [ 48 - 50 ]. However, there was > 95% concordance between histological assessment and clinical judgment in this population suggesting that clinical judgment was an acceptable method for intraoperative gangrene assessment for this study.…”