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Bowel obstruction in pregnancyFrom: Dr. Rupak Ranjan Roy (rupakroy@vsnl.com)Fri Oct 29 12:45:26 2004
Planning to perform a laparotomy on a 28 weeker with small bowel obstruction tomorrow. She has been referred from elsewhere with a two week history of upper abdominal pain, vomiting and abdominal distension. Was being treated conservatively there. X-ray shows multiple fluid levels. Has history of appendicectomy and right ovarian cystectomy one year ago. Surgeon has seen her. Not much doubt about the diagnosis. I was just wondering about the suture material to use for the rectus sheath (opened by a vertical incision). Are non-absorbables likely to cause problems as the uterus grows? Secondly, do you use tocolytics? Dr. Rupak Ranjan Roy MRCOG
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