A 42-year-old man was diagnosed with a strangulated right inguinal hernia. Necrosis small bowel was found in the hernia sac during surgery. The patient was hemodynamically stable. What would be the best treatment option for this bowel segment and hernia?
سؤال مجاني 3 من 10 اليوم · اشترك وكمّل بدون حد
اعرض الإجابة
الإجابة والشرح
ادخل لحسابك عشان نحفظ إجاباتك ونوريك أخطاءك.
الإجابة: B. Resection and primary anastomosis with herniorrhaphy
When the bowel in a strangulated hernia is non-viable, it is resected with primary anastomosis. In a stable patient a stoma is not needed. The hernia is then repaired with non-absorbable sutures (herniorrhaphy), not mesh, because the field is contaminated. Returning necrotic bowel to the abdomen (A) is wrong. Warm packs (D) are used only for bowel of doubtful viability, not for clearly necrotic bowel.
- المصدر
- Hernia - Afnan.pdf · p. 10
Hernia 39.pdf · p. 6 - المحاضرة
- Hernia · General Surgery · Module D
- ظهر في
- Surgery QB (Module D) p. 112 Q28