Definition:
Intestinal obstruction repair is surgery to relieve a bowel obstruction (blockage). A complete obstruction is a surgical emergency, no matter what the cause is.
Alternative Names:
Repair of volvulus; Reduction of intussusception, lysis of intestinal adhesions
Description:
Intestinal obstruction repair is done while you are under general anesthesia. This makes you unconscious and unable to feel pain. The surgeon makes an incision (cut) in your belly to expose your intestines. Then the surgeon locates the area of your intestine (also called "bowel") that is blocked. The blockage will be freed. Any injured sections of your bowel will be repaired or removed. If a section is removed, the healthy ends will be reconnected with stitches. See also: Large bowel resection Sometimes when part of the intestine is removed, the ends cannot be reconnected. If this happens, the surgeon will bring the ends out through an opening called a colostomy. The surgeon will make this opening in your belly. The surgeon will also examine the bowel for lack of blood flow.
Why the Procedure Is Performed:
A blockage in the bowel keeps stool from moving through. Gas gets trapped inside the bowel, and that causes swelling and abdominal distention. A blockage that lasts for a long time keeps blood from flowing normally. Poor blood flow can cause parts of the bowel to die. Causes of intestinal obstruction include: - Scar tissue (adhesions)
- Incarcerated hernias
- Tumors or cysts
- Intussusception
- Twisting or kinking of the bowel (volvulus)
- Swallowed objects not meant to be eaten
Surgery is often needed to treat a bowel obstruction. The type of operation depends on the cause of the obstruction.
References:
Turnage RH, Heldmann M, Cole P. Intestinal obstruction and illeus. In: Feldman M, Friedman LS, Sleisenger MH, eds. Sleisenger & Fordtran’s Gastrointestinal and Liver Disease. 8th ed. Philadelphia, Pa: Saunders Elsevier; 2006:chap 116.
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