Re: Bowel obstruction in pregnancy
From: Yankowitz, Jerome (jerome-yankowitz@uiowa.edu)
Wed Nov 3 06:15:49 2004
Thank you. Your usual literature review would substantiate the marked increase in complications with delay.
> 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
>
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> ----------
> From: ob-gyn-l@obgyn.net on behalf of Terrence.Jones@kp.org
> Reply To: ob-gyn-l@obgyn.net
> Sent: Tuesday, November 2, 2004 5:09 PM
> To: Multiple recipients of list OB-GYN-L
> Subject: Re: Bowel obstruction in pregnancy
>
> 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 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
> > >
> >
>
