Re: Bowel obstruction in pregnancy
From: Dr. Rupak Ranjan Roy (rupakroy@vsnl.com)
Fri Oct 29 19:54:51 2004
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
> >
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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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