Surgery for Intestinal Obstruction

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Surgery for Intestinal Obstruction

• Kourosh Khosraviani

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Small Bowel

• Site of obstruction
• Cause of obstruction
• Division of adhesions
• Scissors
• Scalpel
• Small bowel resection
• Ileocaecal valve
• Anastomosis

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Small Bowel

• Difficulty of dissection
• Enterotomies
• Air leak
• Anastomosis
• Hand sutured
• Stapled
• Recurrent obstruction
• Jones tube
• Anti-adhesion preparations

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Large Bowel

• Right Colon
• Resection and primary anastomosis
• Transverse Colon
• Resection/ Extended R Hemi

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Large Bowel

• Left sided obstruction
• 3 Stage Procedure
• Hartmann,s Procedure
• Subtotal Colectomy
• Resection On-Table Lavage

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Alternatives

• Advanced Malignant Disease
• Significant anasthetic risk
• Colonic Stent
• Bypass