How long can volvulus repair be discharged from hospital?

summary

Volvulus is caused by the rotation of a certain segment of the intestinal loop along a fixed point. These diseases seem very small, but cause great harm to human body. It is often because the intestinal loop and its mesentery are too long and the intestinal cavity becomes narrow due to compression after volvulus, which causes obstruction, torsion and compression and affects the blood supply of the intestinal canal, Intestinal obstruction caused by volvulus is strangulated. Physical labor or strenuous exercise after a full meal is often the inducing factor of volvulus, which is a kind of closed loop obstruction. So let's share how long can the repair of volvulus be discharged?.

How long can volvulus repair be discharged from hospital?

First, preoperative preparation of intestinal obstruction patients often due to vomiting, gastrointestinal decompression, unable to eat and homeostasis imbalance, chronic intestinal obstruction patients are more likely to have malnutrition. Therefore, the homeostasis should be adjusted before operation, even in the case of acute obstruction. In patients with chronic obstruction, more comprehensive examination and treatment can be carried out, and the nutritional status can be adjusted to improve the nutritional status of patients. The effect of parenteral nutrition support is satisfactory. Because of the disorder of water, electrolyte, acid-base and malnutrition, especially those patients with chronic intestinal obstruction, the liver and kidney function should be monitored and treated before operation. To prevent the operation from aggravating the damage of these organs. In patients with intestinal obstruction, nasogastric tube should be placed for gastrointestinal decompression before operation, which is not only conducive to the exposure during operation, but also can prevent the occurrence of asphyxia due to vomiting during anesthesia.

Second, anesthesia and postural surgery are usually performed under epidural anesthesia, which can obtain satisfactory exposure of surgical field and promote the recovery of intestinal peristalsis. When the patient's general condition is poor and the patient's tolerance to the operation is not good, endotracheal anesthesia or intravenous anesthesia is feasible.

Third: after the operation steps into the abdominal cavity, we can see that the intestinal loops are blood stasis and bloody ascites. At this time, the left hand can lift a segment of intestinal loop, and the right hand can explore along the mesenteric root. The root of the volvulus mesentery was found in the transverse colon or in the lower abdomen. Distinguish the direction of torsion and determine the clockwise or anticlockwise direction. Generally speaking, the counter clockwise direction is more than the clockwise direction. After identification, the whole small intestine can be restored to the opposite direction of torsion, which can be 180 °～ seven hundred and twenty ° reverse. After reduction, we should judge whether the bowel is still alive.

matters needing attention

① Whether there are serious congestion and bleeding points in the intestine and mesentery; ② Whether the color of intestinal serosa is normal or not; ③ Whether there is intestinal peristalsis; ④ Whether there is thrombosis in the mesenteric vein; ⑤ The pulsation of mesenteric artery and intestinal marginal artery was observed; ⑥ Whether there is odor in the abdominal cavity. Among them, arterial pulsation is an important sign. If there is any doubt, procaine, benzimidazoline or papaverine can be injected into the root of mesentery or large branch of mesentery to relieve vasospasm and restore arterial pulsation. When intestinal circulation exists, the color of the bowel can quickly change from cyanosis to red after the patient inhales pure oxygen. If you are ready, you can also inject fluorescein into the artery and then irradiate it with ultraviolet lamp to estimate the range of blood perfusion. Doppler ultrasound can also be used to detect the blood supply of mesenteric artery in this area.