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What characteristics does a successful intestinal obstruction repair have?
Most patients who undergo surgical repair of an intestinal obstruction have an uneventful recovery and do not experience a recurrence of the obstruction.
What is the frequency of intestinal obstruction repair failure in America?
Approximately 300,000 intestinal obstruction repairs are performed in the United States each year. Among patients who are admitted to the hospital for severe abdominal pain, 20% have an intestinal obstruction. While bowel.
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What are the alternatives to intestinal obstruction repair?
Such nonsurgical techniques as the administration of IV fluids and bowel decompression with a NG tube are often successful in relieving an intestinal obstruction. Patients who present with more severe symptoms that are indicative.
What risks exist for the patient in undergoing an intestinal obstruction repair?
Complications associated with intestinal obstruction repair include excessive bleeding; infection; formation of abscesses (pockets of pus); leakage of stool from an anastomosis; adhesion formation; paralytic ileus.
What kind of surgery does strangulation of the bowel require?
usually requires emergency abdominal surgery to remove the adhesions and restore blood flow to the intestine. Intestinal obstruction repair is performed under general anesthesia
What is the purpose of intestinal obstruction repair?
While most small bowel blockages can be treated with the administration of intravenous (IV) fluids and decompression of the bowel by the insertion of a nasogastric (NG) tube, surgical intervention is necessary in approximately 25% of.
Intestinal obstruction repair - series?
Normal anatomyThe intestine is made up of the small intestine and the large intestine (colon). The small intestine runs from the stomach to the large intestine. The colon runs from the end of the small intestine to the anus. The intestine absorbs nutrients and water from the diet.Indication, part 1Obstruction of the intestine occurs when food and water cannot pass through the intestine. The area of intestine nearest to the obstruction becomes dilated and non-functioning. If the obstruction is not relieved, it can lead to intestinal gangrene and perforation.Indication, part 2The most common causes of intestinal obstruction in adults are adhesions, hernias, and colon cancer. Adhesions are scars that form between loops of intestine, usually caused by prior surgery, which causes such scar formation. Hernias are areas of weakness in the abdominal wall, through which loops of intestine can slip and become trapped. Colon cancer is one of the most common forms of cancer. While each reason for intestinal obstruction requires a different treatment, all intestinal obstructions are potentially life-threatening.IncisionIn most cases, surgery is necessary. While the patient is deep asleep and pain-free (general anesthesia), an incision is made in the midline of the abdomen. In the case of adhesions, the adhesion is removed, thus relieving the obstruction. In the case of a hernia, the hernia is repaired. If colon cancer is present, cancerous areas are removed, which also relieves the obstruction. .ProcedureIn all cases, the intestine involved in the obstruction is examined. If any parts of the intestine look unhealthy from lack of blood flow during the period of obstruction, they are removed and the healthy ends are reconnected. A patient's recovery depends on several factors, including the cause of the intestinal obstruction and the length of time prior to relief of the obstruction.Reviewed ByReview Date: 05/17/2010Shabir Bhimji, MD, PhD, Specializing in Cardiothoracic and Vascular Surgery, Midland, TX. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.
What is the surgical treatment for intestinal obstructions?
The obstructed area is removed and part of the bowel is cut away. If the obstruction is caused by tumors, polyps, or scar tissue, they are removed. Hernias, if present, are repaired. Antibiotics are given to reduce the possibility of infection.
What incision has to be made in the small intestine to remove an obstruction?
A longitudinal incision is typically made in the small intestine to remove an obstruction, allowing access to the blocked area for removal and subsequent repair of the intestine. This procedure is known as an enterotomy.
Why are perforations to the intestine dangerous?
Perforations in the intestine are dangerous because they allow intestinal contents, including bacteria and toxins, to leak into the abdominal cavity, leading to a serious infection known as peritonitis. This condition can cause severe abdominal pain, sepsis, and potentially life-threatening complications if not treated promptly. Additionally, perforations can lead to bowel obstruction and require emergency surgical intervention to repair the damage and prevent further complications.
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