Open Small Bowel Resection

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SAMPLE EXCERPT
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PRE-PROCEDURE
INDICATIONS
  • Small bowel obstruction
  • Ischemia
  • Crohn disease
  • Tumor
  • Trauma
EQUIPMENT
  • Standard laparotomy tray
ANATOMY
  • Duodenum is retroperitoneal with blood supplied by branches of celiac trunk and superior mesenteric artery.
  • Jejunum and ileum are intraperitoneal with blood supplied by superior mesenteric artery.

PROCEDURE
Sample excerpt does not include step-by-step text instructions for performing this procedure
The full content of this section includes:
  • Step-by-step text instructions for performing the procedure
  • Clinical pearls providing practical clinical tips from medical experts
  • Patient safety guidelines consistent with Joint Commission and OHSA standards
  • Links to medical evidence and related procedures

POST-PROCEDURE
CARE
  • Nasogastric decompression and IV fluids until resumption of bowel activity.
  • Gradual advance of diet upon resumption of bowel activity.
  • Generally discharge within 4 to 5 days for uncomplicated cases.
COMPLICATIONS
  • Ileus
  • Small bowel obstruction
  • Wound infection
  • Intra-abdominal abscess
RESULT ANALYSIS

Small bowel resection can be a lifesaving procedure, whether done for obstruction, ischemia, or perforation. Morbidity and mortality vary greatly depending on the indication for resection.

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