| Discussion in 'All Categories' started by Muhammad atieh - Mar 24th, 2016 1:08 am. | |
Muhammad atieh
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Dear sir , I did a laparoscopic surgery 2 days ago. During surgery I did adhesiolysis of omentun by bipolar I was close to bowel but I did not notice any injury . Today Patient Complaints Of A abdominal Pain Distension No Fever . Please for your opinion . Dr Muhammad |
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re: Complication of Laparoscopic Adhesiolysis
by Dr R K Mishra -
Apr 3rd, 2016
4:58 pm
#1
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Dr R K Mishra
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Dear Dr Muhammad Every abdominal pain may not be considered as complication but you should immediately get some basic investigation done. Please get one CBC and CT abdomen done. Keep the patient on conservative treatment but please observe. Severe abdominal pains that do not settle after taking pain relief and rest Ongoing vomiting,and high fever (>38 degrees) Most bowel injuries that occur during laparoscopic surgery arise as a result of pre-existing intra-abdominal adhesions. These may result in bowel injury during initial laparoscopic access or subsequent adhesiolysis. If adhesions are suspected, an alternative open or extraperitoneal approach should be considered to reduce the risk of bowel injury. Before surgery all patients, especially those who have undergone previous laparotomy, should be informed of the risk of rare complications, including bowel injury, and this hazard should be specifically included in the consent form. |
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