Intestinal obstruction repair
Intestinal obstruction repair is surgery to relieve a bowel obstruction. A bowel obstruction occurs when the contents of the intestines cannot pass through and exit the body. A complete obstruction is a surgical emergency.
Intestinal obstruction repair is done while you are under general anesthesia. This means you are asleep and do not feel pain.
General anesthesia is treatment with certain medicines that puts you into a deep sleep so you do not feel pain during surgery. After you receive the...Read Article Now Book Mark Article
The surgeon makes a cut in your belly to see your intestines. Sometimes, the surgery can be done using a laparoscope, which means smaller cuts are used.
The surgeon locates the area of your intestine (bowel) that is blocked and unblocks it.
Any damaged parts of your bowel will be repaired or removed. This procedure is called bowel resection. If a section is removed, the healthy ends will be reconnected with stitches or staples. Sometimes, when part of the intestine is removed, the ends cannot be reconnected. If this happens, the surgeon will bring one end out through an opening in the abdominal wall. This may be done using a colostomy or ileostomy.
Large bowel resection is surgery to remove all or part of your large bowel. This surgery is also called colectomy. The large bowel is also called t...Read Article Now Book Mark Article
Colostomy is a surgical procedure that brings one end of the large intestine out through an opening (stoma) made in the abdominal wall. Stools movin...Read Article Now Book Mark Article
Why the Procedure Is Performed
This procedure is done to relieve a blockage in your intestine. A blockage that lasts for a long time can reduce or block blood flow to the area. This can cause the bowel to die.
Risks of anesthesia and surgery in general include:
- Reactions to medicines, breathing problems
- Bleeding, blood clots, infection
Risks of this procedure:
- Bowel obstruction after surgery
- Damage to nearby organs in the body
- Formation of scar tissue (adhesions)
- More scar tissue forming in your belly and causing a blockage of your intestines in the future
- Opening of the edges of your intestines that are sewn together (anastomotic leak), which may cause life-threatening problems
- Problems with the colostomy or ileostomy
- Temporary paralysis (freezing up) of the bowel (paralytic ileus)
Muscle function loss is when a muscle does not work or move normally. The medical term for complete loss of muscle function is paralysis.Read Article Now Book Mark Article
After the Procedure
How long it takes to recover depends on your overall health and the type of operation.
The outcome is usually good if the obstruction is treated before bowel blood flow is affected.
People who have had many abdominal surgeries may form scar tissue. They are more likely to have bowel obstructions in the future.
Debra G. Wechter, MD, FACS, general surgery practice specializing in breast cancer, Virginia Mason Medical Center, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
Gearhart SL, Kelley MP. Management of large bowel obstruction. In: Cameron AM, Cameron JL, eds. Current Surgical Therapy. 13th ed. Philadelphia, PA: Elsevier; 2020:202-207.
Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon and rectum. In: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Textbook of Surgery: The Biological Basis of Modern Surgical Practice. 20th ed. Philadelphia, PA: Elsevier; 2017:chap 51.
Mustain WC, Turnage RH. Intestinal obstruction. In: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger and Fordtran's Gastrointestinal and Liver Disease: Pathophysiology/Diagnosis/Management. 11th ed. Philadelphia, PA: Elsevier; 2021:chap 123.