Postoperative Obstruction (Complications)
abdo_25a_n.jpg to abdo_25c_n.jpg: 3 schoolchildren with laparotomy due to 'surgical abdomen'.
abdo_25a_n.jpg: In the middle of the picture a narrow intestinal segment is visible which seems to lie behind a cord-like process of an intestinal loop coming from the left side of the patient.
abdo_25b_n.jpg: Here, a white cord is recognizable which runs along the base
of a bluishly discolored intestinal segment.
abdo_25c_n.jpg: On the right side and at the bottom in the picture a flaccid intestinal segment is visible which differs from the residual vital intestinal loops by its dark-red to black discoloration.
abdo_25a_n.jpg to abdo_25c_n.jpg: There are 3 cases of postoperative obstruction due to adhesions in the child; there is an increasing involvement of the
strangulated segment of the small intestine by one or multiple adhesions.
In abdo_25a_n.jpg the intestine is not yet compromised, in abdo_25b_n.jpg the intestine is distinctly, and in abdo_25c_n.jpg
the intestine is irreversibly compromised in its blood supply.
The duration of the intestinal compromise is mainly responsible; therefore, intestinal resection can only be avoided by early diagnosis and revision.
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