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Related Concept Videos

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:
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...
Appendicitis-II: Diagnostic Studies and Management01:29

Appendicitis-II: Diagnostic Studies and Management

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It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

Cardiomyopathy VII: Pre and Post Operative Nursing Management

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Peripheral Artery Disease V: Postoperative Nursing Management

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Updated: May 31, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

Perioperative bowel management for gynecologic surgery.

James Fanning1, Fidel A Valea

  • 1Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Pennsylvania State University, Milton S. Hershey Medical Center, Hershey, PA 17033, USA. jfanning1@hmc.psu.edu

American Journal of Obstetrics and Gynecology
|June 28, 2011
PubMed
Summary

Postoperative intestinal care after gynecologic surgery has evolved. Key findings show early feeding improves recovery, while routine bowel prep and nasogastric tubes offer no benefits and may increase risks.

Related Experiment Videos

Last Updated: May 31, 2026

Murine Ileocolic Bowel Resection with Primary Anastomosis
08:49

Murine Ileocolic Bowel Resection with Primary Anastomosis

Published on: October 29, 2014

Area of Science:

  • Gynecologic Surgery
  • Gastrointestinal Care
  • Postoperative Recovery

Background:

  • Postoperative intestinal care protocols have undergone significant changes.
  • Evidence-based practices are crucial for optimizing patient outcomes.

Purpose of the Study:

  • To review and describe the evolution of postoperative intestinal care following major gynecologic surgery.
  • To evaluate the impact of current practices on patient recovery and complication rates.

Main Methods:

  • Literature review of recent studies and clinical guidelines.
  • Analysis of evidence regarding bowel preparation, nasogastric decompression, and early feeding.

Main Results:

  • Preoperative mechanical bowel preparation is not associated with reduced anastomotic leakage or infection.
  • Elective postoperative nasogastric tube decompression is linked to increased pneumonia and offers no reduction in other complications.
  • Early feeding is associated with shorter hospital stays and may reduce, not increase, postoperative complications like pneumonia.
  • Interventions such as early feeding, gum chewing, bowel stimulation, alvimopan, and ketorolac show potential in decreasing postoperative ileus.

Conclusions:

  • Routine preoperative bowel preparation and postoperative nasogastric decompression should be re-evaluated in major gynecologic surgery.
  • Early postoperative feeding is beneficial, reducing hospital stay and potentially lowering complication rates.
  • A multimodal approach including early feeding and specific interventions may effectively manage and reduce postoperative ileus.