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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:
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...

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Related Experiment Video

Updated: May 25, 2026

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
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Strangulated intestinal hernia through a drain site.

Evangelos Falidas1, Stavros Mathioulakis, Konstantinos Vlachos

  • 11st Department of General Surgery, 417 NIMTS, Veterans Administration Hospital of Athens, 10-12 Monis Petraki St, Athens 11521, Greece.

International Journal of Surgery Case Reports
|January 31, 2012
PubMed
Summary

Intra-abdominal drains, while common for preventing fluid buildup, can lead to rare complications like intestinal incarceration. Careful drain management is crucial to avoid serious surgical site issues.

Keywords:
Abdominal drainSmall bowel herniationSmall bowel incarceration

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Area of Science:

  • Surgical Gastroenterology
  • Abdominal Surgery

Background:

  • Intra-abdominal drains are standard for preventing fluid accumulation and detecting anastomotic leaks.
  • Potential complications include drain site infection, hemorrhage, and intestinal perforation.

Purpose of the Study:

  • To highlight a rare complication of intra-abdominal drains: intestinal incarceration.
  • To emphasize the importance of cautious drain usage and meticulous post-operative care.

Main Methods:

  • Case report of an 82-year-old woman following sigmoidectomy for colorectal cancer.
  • Review of potential complications associated with intra-abdominal drain placement.

Main Results:

  • The patient developed small bowel herniation and strangulation through the drain site.
  • Intestinal incarceration via a drain site is an infrequently reported complication.

Conclusions:

  • Intra-abdominal drains should be used judiciously and only when indicated.
  • Meticulous insertion technique and regular inspection are vital to prevent severe complications.