c l i n i c a l f o l i o s : n a r r a t i v e





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Intestinal Obstruction with Small Bowel Infarction: 19

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The band was incised with a #15 blade.     

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Intestinal Obstruction with Small Bowel Infarction: 20

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The final division of the band is shown.     

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Intestinal Obstruction with Small Bowel Infarction: 21

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The neck of viable mesentery just proximal to the point of constriction was compressed between the surgeonís thumb and fingers as the mesentery was spread to prevent humoral toxins from draining from the dead bowel into the systemic circulation and causing circulatory collapse. This pressure was maintained until the dead bowel was resected.    

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This page was last modified on 2/3/2003.