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Related Concept Videos

Intestinal Obstruction I: Introduction01:29

Intestinal Obstruction I: Introduction

Intestinal obstruction is a partial or complete blockage of the small or large intestine that disrupts the normal flow of intestinal contents through the lumen. This interruption impairs digestion, absorption, and fluid balance, and may lead to serious complications if not treated promptly.Mechanical ObstructionMechanical obstruction occurs when a physical blockage prevents intestinal contents from passing, arising from within the lumen or the bowel wall, or from external compression.Adhesions,...
Intestinal Obstruction II: Pathophysiology01:07

Intestinal Obstruction II: Pathophysiology

Intestinal obstruction triggers a series of physiological responses, starting with gas and fluid accumulation in the bowel segment proximal to the obstruction, leading to distension. This distended intestine compresses the diaphragm, hindering lung expansion and potentially leading to reduced respiratory effort, atelectasis, and pneumonia.To overcome the blockage, the gut intensifies contractions, causing colicky abdominal pain, nausea, and vomiting, which reduces fluid and food intake and...
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Pyloric Obstruction01:11

Pyloric Obstruction

Pyloric obstruction, also referred to as gastric outlet obstruction, is a condition characterized by narrowing or blockage at the pylorus—the muscular valve regulating the flow of stomach contents into the duodenum. When this passage becomes impaired, the stomach cannot effectively empty its contents into the small intestine. This disruption leads to a range of gastrointestinal symptoms, including early satiety, bloating, epigastric pain, postprandial nausea, persistent vomiting, and...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Related Experiment Videos

Intestinal obstruction caused by retained surgical sponge: two case reports.

Na Adu-Aryee1, E Asumanu, A Tetteh

  • 1Departments of Surgery and Anaesthesia, Korle Bu Teaching Hospital, P.O. Box 77, Accra, Ghana.

Ghana Medical Journal
|February 15, 2007
PubMed
Summary

Retained laparotomy packs can cause intestinal obstruction. Improved surgical procedures and attention to detail in the operating theatre can prevent these retained surgical items.

Related Experiment Videos

Area of Science:

  • Surgical Safety
  • Gastrointestinal Surgery
  • Patient Outcomes

Background:

  • Retained surgical items, such as laparotomy packs, are a rare but serious complication following abdominal surgery.
  • These items can lead to significant morbidity, including intestinal obstruction, infection, and prolonged hospital stays.

Purpose of the Study:

  • To present two cases of intestinal obstruction caused by retained laparotomy packs.
  • To discuss the management strategies for such cases.
  • To emphasize the importance of meticulous surgical procedures to prevent retained surgical items.

Main Methods:

  • Case report presentation of two patients experiencing intestinal obstruction.
  • Review of the clinical presentation, diagnostic workup, and surgical management.
  • Analysis of the contributing factors and preventative measures.

Main Results:

  • Two cases of intestinal obstruction were successfully managed after the diagnosis of retained laparotomy packs.
  • Surgical intervention was required to remove the retained packs and relieve the obstruction.

Conclusions:

  • Retained laparotomy packs are a preventable cause of intestinal obstruction.
  • Strict adherence to surgical counts and procedural checks is crucial in the operating theatre.
  • Enhanced vigilance during surgical procedures can significantly reduce the incidence of retained surgical items and improve patient safety.