Difficult Intraoperative Decisions during Colic Surgery
نویسنده
چکیده
One of the first major surgeries many equine surgical residents will log as a primary surgeon will be an emergency colic surgery. Being adequately prepared for this challenge and able to make correct intraoperative decisions is imperative for successful case outcome. Arguably the two greatest challenges faced during colic surgery are assessing bowel viability, and overall patient survivability based on the lesion identified and the procedures required to correct the problem. Even experienced equine surgeons encounter moments of anxiety when making these two decisions. Adhesion prophylaxis and abdominal wall closure following repeat laparotomy are more straightforward issues to deal with, and will also be discussed.
منابع مشابه
Radioguided localization of occult colonic lesions during open or laparoscopic surgery
The applications of radioguided surgery, an approach to oncologic surgery involving a multidisciplinary team, are expanding at a rapid pace. The technique of radioguided occult lesion localization (ROLL) was originally introduced in the mid90s for applications in breast surgery, and later adapted also to other tumor lesions such as solitary pulmonary nodules (during either open or laparoscopic ...
متن کاملClinical evaluation of pre-emptive use of oral Amantadin on intraoperative pain during ovariohysterectomy in NZ White Rabbit
Background When painful stimulations are constantly perceived by the pain sensation system, pain management becomes more difficult and pain will turn from acute to chronic. Therefore, prevention and management of acute pain will ultimately reduce both acute and chronic pain in patients and the development of appropriate analgesia during surgery and subsequent pain control can be important in ...
متن کاملPrevalence, Demographics, and Risk Factors for Colic - Proceedings of AAEP Focus Meeting - Quebec, 2005
Colic is one of the most difficult diseases to study with epidemiologic methods due to the large number of diseases, which create the signs of colic. Making a specific diagnosis is not always possible in horses with colic; therefore classification of the simple colic is a challenge. Information about incidence, mortality, and risk factors is helpful to the clinician in making decisions about in...
متن کاملRandomized clinical trial of routine on-table cholangiography during laparoscopic cholecystectomy.
BACKGROUND A randomized clinical trial was undertaken to assess the utility of routine on-table cholangiography (OTC) during laparoscopic cholecystectomy for gallstone disease. METHODS Some 190 patients with a history of biliary colic or cholecystitis and a low predictive risk for choledocholithiasis were randomized to undergo elective laparoscopic cholecystectomy alone (99 patients) or elect...
متن کاملIdentifying important predictors for anastomotic leak after colon and rectal resection: prospective study on 616 patients.
OBJECTIVE The purpose of this study was to identify patient, clinical, and surgical factors that may predispose patients to anastomotic leak (AL) after large bowel surgery. BACKGROUND Anastomotic leak is still one of the most devastating complications following colorectal surgery. Knowledge about factors predisposing patients to AL is vital to its early detection, decision making for surgical...
متن کامل