Various types of strangulating intestinal obstruction, gastro-intestinal cancer and congenital deformities caused by intestinal obstruction, as well as non-surgical treatment of patients null and void, to surgical treatment. Acute intestinal obstruction due to the patient's general condition often more serious, and the principle of operation is: surgery in the shortest possible time, the simplest way to disarm intestinal obstruction and the restoration of the patent. Specific surgical methods according to the obstruction causes, nature, location and general conditions.
(1) small-bowel obstruction: The simple small-bowel obstruction, the general response from the direct reasons for the lifting of obstruction, such as adhesion release, with narrow Changduan, if not impossible, to be obstructive near the distal intestinal loop to do side-to-side anastomosis surgery to restore lumen patency. The patient generally poor or partial resection of the lesion could not low obstruction, intestinal fistulization feasible, the temporary lifting of obstruction. Intestinal obstruction such as high as ostomy can cause plenty of liquids and electrolyte loss, it should not be used.
Strangulated of small bowel obstruction, should fight for the lifting of the necrotic bowel obstruction before and restore intestinal blood circulation. Correct judgement of the importance of the vitality of intestine, such as obstruction reason for the lifting of any of the following performance. No vitality intestine is illustrated:
① wall appears dark black or Ziheise;
② tension and wall has lost its ability to wiggle, a bowel paralysis, expanding, and to stimulate a contraction;
③ corresponding terminals small mesenteric artery without throb.
If suspicious, available isotonic saline gauze fomentation, or 0.5% procaine solution for the mesenteric root closed. If the observation of 10 to 30 minutes, no improvement has been the intestinal necrosis should be intestinal resection.
(2) acute colonic obstruction: As the role of ileocecal valve, colon more complete obstruction of a closed loop obstruction, pressure within the lumen at much smaller intestinal obstruction, the blood supply to the colon or small intestine as rich as to cause intestinal wall revascularization obstacles, and the bacteria in the colon, so a bowel resection and anastomosis, and often not easily healed smoothly. Therefore, the simple colonic obstruction, the general obstruction proximal (cecal or transverse colon) ostomy to relieve the obstruction. If there intestinal necrosis, are advised to stump removal and external necrosis Changduan for fistulization, and so after two operations to resolve the colon lesions.
(1) small-bowel obstruction: The simple small-bowel obstruction, the general response from the direct reasons for the lifting of obstruction, such as adhesion release, with narrow Changduan, if not impossible, to be obstructive near the distal intestinal loop to do side-to-side anastomosis surgery to restore lumen patency. The patient generally poor or partial resection of the lesion could not low obstruction, intestinal fistulization feasible, the temporary lifting of obstruction. Intestinal obstruction such as high as ostomy can cause plenty of liquids and electrolyte loss, it should not be used.
Strangulated of small bowel obstruction, should fight for the lifting of the necrotic bowel obstruction before and restore intestinal blood circulation. Correct judgement of the importance of the vitality of intestine, such as obstruction reason for the lifting of any of the following performance. No vitality intestine is illustrated:
① wall appears dark black or Ziheise;
② tension and wall has lost its ability to wiggle, a bowel paralysis, expanding, and to stimulate a contraction;
③ corresponding terminals small mesenteric artery without throb.
If suspicious, available isotonic saline gauze fomentation, or 0.5% procaine solution for the mesenteric root closed. If the observation of 10 to 30 minutes, no improvement has been the intestinal necrosis should be intestinal resection.
(2) acute colonic obstruction: As the role of ileocecal valve, colon more complete obstruction of a closed loop obstruction, pressure within the lumen at much smaller intestinal obstruction, the blood supply to the colon or small intestine as rich as to cause intestinal wall revascularization obstacles, and the bacteria in the colon, so a bowel resection and anastomosis, and often not easily healed smoothly. Therefore, the simple colonic obstruction, the general obstruction proximal (cecal or transverse colon) ostomy to relieve the obstruction. If there intestinal necrosis, are advised to stump removal and external necrosis Changduan for fistulization, and so after two operations to resolve the colon lesions.
