Re: Bowel obstruction in pregnancy
From: Terrence.Jones@kp.org
Tue Nov 2 16:07:22 2004
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Avoid delay ("sun never sets [or 'rises', in this setting] on an SBO") to avoid (further) ischemic bowel injury. Sometimes, time
matters. tj
"Dr. Rupak Ranjan Roy" <rupakroy@vsnl.com>
Sent by: ob-gyn-l@obgyn.net
10/29/2004 05:55 PM
Please respond to ob-gyn-l
To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
cc:
Subject: Re: Bowel obstruction in pregnancy
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" <jerome-yankowitz@uiowa.edu>
To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net>
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
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>
> > ----------
> > 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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<br><font size=2 face="sans-serif">Avoid delay ("sun never sets [or 'rises', in this <i>setting</i>] on an SBO") to avoid (further) ischemic bowel injury. Sometimes, time matters. tj</font>
<br>
<table width0%>
<tr valign=top>
<td>
<td><font size=1 face="sans-serif"><b>"Dr. Rupak Ranjan Roy" <rupakroy@vsnl.com></b></font>
<br><font size=1 face="sans-serif">Sent by: ob-gyn-l@obgyn.net</font>
<p><font size=1 face="sans-serif">10/29/2004 05:55 PM</font>
<br><font size=1 face="sans-serif">Please respond to ob-gyn-l</font>
<br>
<td><font size=1 face="Arial"> </font>
<br><font size=1 face="sans-serif"> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net></font>
<br><font size=1 face="sans-serif"> cc: </font>
<br><font size=1 face="sans-serif"> Subject: Re: Bowel obstruction in pregnancy</font></table>
<br>
<br><font size=2 face="Courier New">It was already 8'0 clock in the evening when the patient was admitted and I<br>
posted the message. We had to get all her labs back, theatre arranged etc.<br>
and that would have taken us past midnight. So, we planned the surgery for<br>
the next morning, only 12 hours later.<br>
<br>
Dr. Rupak Ranjan Roy<br>
MRCOG<br>
<br>
>----- Original Message -----<br>
From: "Yankowitz, Jerome" <jerome-yankowitz@uiowa.edu><br>
To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@dns.obgyn.net><br>
Sent: Friday, October 29, 2004 11:45 PM<br>
Subject: Re: Bowel obstruction in pregnancy<br>
<br>
> Why operate tomorrow? Delays cause problems.<br>
><br>
> > Jerome Yankowitz, MD<br>
> > Director, Division of Maternal-Fetal Medicine<br>
> > and Fetal Diagnosis and Treatment Unit<br>
> > Dept of OB/GYN<br>
> > Univ of Iowa Hospitals and Clinics<br>
> > Telephone: 319-356-2574<br>
> > Fax No: 319-353-6759<br>
> ><br>
> This e-mail, including attachments, may include confidential information<br>
that may be legally privileged, and may be used only by the person or entity<br>
to which it is addressed. If the reader of this e-mail is not the intended<br>
recipient or his or her authorized agent, the reader is hereby notified that<br>
any dissemination, distribution or copying of this e-mail is prohibited. If<br>
you have received this e-mail in error, please notify the sender by replying<br>
to this message and delete this e-mail immediately.<br>
><br>
> > ----------<br>
> > From: ob-gyn-l@obgyn.net on behalf of Dr. Rupak Ranjan Roy<br>
> > Reply To: ob-gyn-l@obgyn.net<br>
> > Sent: Friday, October 29, 2004 12:47 PM<br>
> > To: Multiple recipients of list OB-GYN-L<br>
> > Subject: Bowel obstruction in pregnancy<br>
> ><br>
> > Planning to perform a laparotomy on a 28 weeker with small bowel<br>
obstruction<br>
> > tomorrow. She has been referred from elsewhere with a two week history<br>
of<br>
> > upper abdominal pain, vomiting and abdominal distension. Was being<br>
treated<br>
> > conservatively there. X-ray shows multiple fluid levels. Has history of<br>
> > appendicectomy and right ovarian cystectomy one year ago. Surgeon has<br>
seen<br>
> > her. Not much doubt about the diagnosis.<br>
> > I was just wondering about the suture material to use for the rectus<br>
sheath<br>
> > (opened by a vertical incision). Are non-absorbables likely to cause<br>
> > problems as the uterus grows?<br>
> ><br>
> > Secondly, do you use tocolytics?<br>
> ><br>
> > Dr. Rupak Ranjan Roy<br>
> > MRCOG<br>
> ><br>
><br>
<br>
</font>
<br>
