Re: Bowel obstruction in pregnancy

From: Yankowitz, Jerome (jerome-yankowitz@uiowa.edu)
Fri Oct 29 13:15:02 2004


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
>

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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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