My cousin was in the bad automobile collision the small over the month ago. He was sent home, as well as was not means to keep food down. He had serious intestinal cramps as well as nausea. He is behind during the sanatorium right away as well as you have been told he has the bowel obstruction. They gave him the NG blood vessel to assistance soothe the pressure. He is still really ill. The doctors have motionless to do operation to mislay the obstruction. My subject is how is this operation performed, as well as is it vital surgery, or is it the sincerely usual as well as protected procedure?
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bellydoc
April 27th, 2009 at 7:48 pm
The idea of “major surgery” isn’t well defined, but I would call any type of operation inside the abdominal cavity to likely be “major surgery”.
Bowel obstruction can be a tricky problem. The most common type of problem that leads to bowel obstruction results from the scars called “adhesions” that form after a previous surgical procedure. Most people, by far, who have bowel obstructions, have had some sort of abdominal surgery in the past. It’s also possible for other sources of “trauma” inside the abdomen to lead to adhesions, and if there was some internal bleeding after your cousin’s accident, then even if he’s never had surgery there could be adhesions inside, from little more than that.
In those cases, the bowel gets tethered to the sidewall of the body cavity or to adjacent segments of intestine through scar bands. These bands are mostly harmless, but if they accidently make a point at which the bowel folds upon itself, or twists, or if it makes a loop hole through which an adjacent segment of bowel can get caught, then the bowel can be blocked much like a hose with a kink in it.
Most of the time, this sort of thing isn’t 100% obstructing and it resolves with rest, all by itself. However, if the obstruction is 100% blocking, of if there are any signs that a segment of bowel is being pinched to the point where it’s lost it’s blood supply and is dying, or if there is a prolonged period of time over which the symptoms are not going away, then surgery is needed.
Typically surgery involves releasing any of these inappropriate scars with scissors, and if a segment of bowel has gotten badly damaged, then it may need to be removed and the remaining portion re-connected. People tend to tolerate this very well, without long term effects. You can actually lose quite a bit of intestinal length and remain healthy.
Now, I know nothing of your cousin’s medical history, so I can’t say whether this is the likely pattern of events in his case. If, in fact, he has not had previous surgery and recently withstood some type of abdominal injury, this may now be the late signs of a “missed injury” where something inside his abdomen was injured at the time of the accident, but the signs were not there. Now they are. There could be a rip in the muscles or tissues that now has pinched a loop of bowel like a kinked hose. There could have been a segment of bowel that was injured and is now turning into a scar. There could even be an unrelated process like a tumor, but only now after a shock to the system is there any signs of it.
The operation that is done when a firm diagnosis isn’t already apparent is called “exploration”. Your cousin needs to be explored. The answer will be readily apparent and the surgeon will have to decide how best to deal with it at that time. The surgeon will “run the bowel” from one end to the other, and personally verify that the entire channel is functional before the operation is complete.
This sort of thing is a standard surgical situation that any reasonable surgeon is well prepared to deal with.
Best wishes!
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