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العنوان
Management of Postoperative intestinal obstruction
الناشر
Menoufia University . Faculty of Medicine . SURGERY
المؤلف
Abdou , Abd El-Hakim Abd El-Atty AIi
هيئة الاعداد
باحث / عبد الحكيم عبد العاطي عبده
مشرف / سمير محمد حنفي
مشرف / سعيد جمال الدين عسكر
مشرف / محمد ليثي احمد
تاريخ النشر
2004
عدد الصفحات
170 P
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة
تاريخ الإجازة
1/1/2004
مكان الإجازة
جامعة المنوفية - كلية الطب - الجراحة العامه
الفهرس
Only 14 pages are availabe for public view

from 189

from 189

Abstract

Post-operative intestinal obstruction is a common and challenging diagnostic and therapeutic problem for surgeon and time factor plays and important role were inability to pass flatus is hazardous for the patient and discomfort for the surgeon. Mortality about 6 % in simple obstruction and 37 % mortality in strangulated obstruction. Intestinal obstruction may be simple or strangulated according to the blood supply to these part of intestines. Prognosis depend mealy upon the type of obstruction. So it is important to study a different diagnostic modalities that determine which type: where conservative treatment for simple obstruction will solve the problem without surgical interference for strangulated is so important. The aim of this work is to fined diagnostic ’methods through clinical examination laboratory findings and X-ray, ultrasonography and CT to answer this questions: Is there is intestinal obstruction or not. At which level intestine was obstructed. Which type of intestinal obstruction. This study was cared out on 76 patients in emergency department of surgery at Menophia University and Damanhour teaching hospitals cases of post-operative intestinal obstruction that occur in the first month were excluded as it is manly due to paralytic illus. The majority of cases were adhesive intestinal obstruction. All cases were subjected to the following: -I. History taking. -11. Clinical examination. - . Routine laboratory investigations and also investigations to confirm the fluid and electrolyte status.