Prevention of cessation of venting due to adhesive intestinal obstruction

Cessation of venting is a symptom of anal cessation of venting due to intestinal obstruction and other causes. Adhesions and adhesion zone compression Adhesions can cause symptoms of obstruction due to bowel folding and twisting. It is the most common cause of intestinal obstruction in adults, but a few cases can be without a history of abdominal surgery and inflammation.

Prevention methods for stopping exhaustion due to adhesive intestinal obstruction: 1. Since abdominal surgery is the main cause of adhesive intestinal obstruction, active preventive measures should be taken during the surgery. Surgeons should know the causes and pathological mechanisms of adhesive intestinal obstruction, fully recognize the potential danger of adhesions, and avoid or reduce unnecessary surgical invasion.

2. Wash the talcum powder on the gloves before doing surgery, make appropriate incision sites and sizes, operate gently, avoid excessive traction, and minimize the damage to the intestinal canal, visceral plasma membrane and peritoneum; repair the defect of peritoneum as much as possible, if the defect is too large, cover it with omentum and isolate the intestinal canal from the peritoneal defect; do not expose the intestinal canal and other tissues for a long time during surgery, and if the intestinal canal needs to be moved out of the abdominal cavity, use 0.9% sodium chloride Do not block the blood vessels or clamp the intestinal canal for a long time and avoid ligating large pieces so as not to affect the blood supply; use less irritating sutures as much as possible and the retained thread should not be too long.

3, intraoperative attention to aseptic operation, avoid contamination of the abdominal cavity by spillage of gastrointestinal contents, for patients with gastrointestinal perforation, gastrointestinal contents have spilled, intraoperative should be thoroughly cleaned abdominal cavity to reduce infection; abdominal drainage is best to use less irritating materials, the placement site should be appropriate, as far as possible to avoid contact with the intestinal tube, drainage in the upper abdomen can be used to separate it from the intestinal tube. Do not leave gauze and other foreign bodies behind when closing the abdomen. Encourage the patient to get out of bed early after surgery so that the gastrointestinal motility can be restored as soon as possible. If the abdominal distension and poor intestinal motility after surgery, Neostigmine or traditional Chinese medicine (Da Cheng Qi Tang, Gastrointestinal Recovery Tang, etc.) can be applied according to the situation.