Bowel Adhesions Flashcards

1
Q

What are bowel adhensions?

A
  • Fibrous bands of scar tissue
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2
Q

What causes bowel adhesions?

A
  • Post surgery
    • Can be after days, months or even years
  • congenital
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3
Q

What is bowel adhesions associated with?

A
  • SBO
  • female infertility
  • chronic pelvic pain
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4
Q

What are the clinical features of adhesions?

A
  • Asymptomatic (most common)
  • obstruction
  • infertility
  • chronic pelvic pain
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5
Q

How would you Ix and Mx BA?

A
  • Depends on presenting complain.

If uncomplicated BO

  • Drip and suck
  • Tube decompression
  • Analgesia

Surgical

  • Adhesiolysis
  • open/laparoscopic
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6
Q

How would you prevent BA?

A
  • Correct surgical technical
  • reducing intraperitoneal organ handling
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