What does volvulus treatment method have?

summary

Volvulus is a kind of severe mechanical intestinal obstruction, but more attention to their own body, not to check, and eventually developed into a more serious disease. Intestinal strangulation and necrosis often occur in a short period of time, with a mortality rate of 15-40%. The main cause of death is often too late to see a doctor or delayed treatment, which should be treated in time. The main methods of surgical treatment are torsion reduction and intestinal resection. Today, let me talk about the treatment of volvulus?.

What does volvulus treatment method have?

First, if peritonitis or non-surgical treatment is invalid, operation should be performed. If there is no small intestinal necrosis, the twisted intestinal loop should be reset and the blood supply should be observed. If the intestinal loop is necrotic, the necrotic intestinal loop should be removed and the small intestine should be anastomosed end to end.

Second: non operative therapy: fasting and gastrointestinal decompression. ② Try to use fiber colonoscopy or metal sigmoid colonoscopy to pass through the obstruction site, and put anal canal decompression. ③ If the volvulus of sigmoid colon is relieved by decompression, the operation should be selected to remove the long colon.

The third is surgical treatment. If non-surgical treatment fails or intestinal necrosis is suspected, surgery should be performed in time. ② If there is no intestinal necrosis during the operation, the volvulus can be reduced. For the long sigmoid colon, it is better not to do one-stage resection and anastomosis of sigmoid colon, and then selective partial resection of sigmoid colon. ③ If there is intestinal necrosis or perforation, the necrotic intestinal loop should be removed, the proximal external stoma should be placed, the distal stoma or suture should be closed, and then the anastomosis should be performed at a later time; If the operation experience is rich, one-stage anastomosis can be completed according to the situation.

matters needing attention

Develop good eating habits, eat more nutritious and easy to digest food, pay attention to food hygiene, should not overeat, avoid eating hard and irritating food, avoid abdominal cold and strenuous activities after meals.