OB-GYN-L Messages for October, 2004: Re: Bowel obstruction in pregnancy

Re: Bowel obstruction in pregnancy

From: ben salamon

bensal14@yahoo.com

Sun Oct 31 03:54:04 2004

"D. Rupak Ranjan Roy" <rupakroy@vsnl.com> wrote:It was already 8'0 clock in the evening when the patient was admitted and I posted the message. We had to get all her labs back, theatre arranged etc. and that would have taken us past midnight. So, we planned the surgery for the next morning, only 12 hours later.

Dr. Rupak Ranjan Roy MRCOG

>----- Original Message -----
From: "Yankowitz, Jerome" To: "Multiple recipients of list OB-GYN-L" Sent: Friday, October 29, 2004 11:45 PM Subject: Re: Bowel obstruction in pregnancy

> Why operate tomorrow? Delays cause problems.
>
> > Jerome Yankowitz, MD
> > Director, Division of Maternal-Fetal Medicine
> > and Fetal Diagnosis and Treatment Unit
> > Dept of OB/GYN
> > Univ of Iowa Hospitals and Clinics
> > Telephone: 319-356-2574
> > Fax No: 319-353-6759
> >
> This e-mail, including attachments, may include confidential information
that may be legally privileged, and may be used only by the person or entity to which it is addressed. If the reader of this e-mail is not the intended recipient or his or her authorized agent, the reader is hereby notified that any dissemination, distribution or copying of this e-mail is prohibited. If you have received this e-mail in error, please notify the sender by replying to this message and delete this e-mail immediately. >
> > ----------
> > From: ob-gyn-l@obgyn.net on behalf of Dr. Rupak Ranjan Roy
> > Reply To: ob-gyn-l@obgyn.net
> > Sent: Friday, October 29, 2004 12:47 PM
> > To: Multiple recipients of list OB-GYN-L
> > Subject: Bowel obstruction in pregnancy
> >
> > 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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