Intestinal Obstruction—Special Causes 1. Adhesive Obstruction Firstly, strangulation should be ruled out by clinical and radiological tests. extended nonoperative therapy may be advised, for example, if one can wait for 48 hours in a case of intestinal obstruction. In these cases, 4–6 days of waiting is sometimes worth it, especially in a patient who has been operated … [Read more...] about Intestinal Obstruction Causes
Gastrointestinal Surgery
Hirschsprungs Disease
Hirschsprungs Disease Congenital Megacolon Hirschsprung’s disease: Hirschsprung’s disease is also called congenital megacolon, aganglionic megacolon or primary megacolon. It is one of the common causes of neonatal intestinal obstruction. Hirschsprung’s disease Pathophysiology The disease always involves the anus and rectum wherein parasympathetic ganglion cells are … [Read more...] about Hirschsprungs Disease
Incisional Hernia Treatment Notes
Incisional Hernia Treatment Surgical treatment is necessary if the defect is narrow, if there is discomfort to the patient, or if there is a danger of obstruction. Preoperative preparation includes reduction of weight, control of cough, etc. There are various operations for the treatment of incisional hernia depending upon the size of the defect, anatomical location … [Read more...] about Incisional Hernia Treatment Notes
Hernia Multiple Choice Question And Answers
Hernia Multiple Choice Question And Answers Question 1. Length of inguinal canal is: 4 cm 6 cm 8 cm 10 cm Answer: 1. 4 cm Question 2. Which of the following is not a boundary of the Hesselbach’s triangle? Rectus abdominis Inguinal ligament Inferior epigastric artery Testicular artery Answer: 4. Testicular artery Question 3. The following … [Read more...] about Hernia Multiple Choice Question And Answers
Hernia Types and Treatment
Spigelian Hernia It is an interstitial hernia that occurs through the Spigelian fasciitis is a thin strip of fascia that runs parallel to the outer border of the rectus sheath from the tip of the 9th costal cartilage to the pubic tubercle. Since it is very wide in the region of the umbilicus/arcuate line, Spigelian hernias occur commonly at this level. Spigelian … [Read more...] about Hernia Types and Treatment