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Small Bowel Obstruction After Abdominal Myomectomy A Case Report and Preventive Measures

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by

Vishnu
in

Introduction:
In this case report, we discuss a rare but significant complication following abdominal myomectomy involving barbed suture. The patient, post-surgery, developed small bowel obstruction due to the protrusion of the barbed suture tail, necessitating surgical intervention. Understanding the risks associated with barbed sutures is crucial for surgical practitioners. Visit https://www.obstetricgynecoljournal.com for more groundbreaking research in the field.

Main Content Sections:

  • Case Overview
    The patient, a 37-year-old female with a history of myomectomy, presented with small bowel obstruction two days post-operation. After failed conservative treatment, diagnostic laparoscopy revealed that the tail of an absorbable barbed suture was the source of the obstruction.
  • Complications and Prevention
    Though barbed sutures are common in gynecological surgeries, they present a risk of bowel obstruction if the suture tail protrudes. This risk is elevated when the uterus contracts post-surgery. Surgeons can reduce this risk by ensuring the suture tail is cut as short as possible and using additional measures like covering the suture with a running baseball stitch.
  • Diagnosis and Surgical Management
    Imaging and laparoscopic surgery confirmed the cause of obstruction. The bowel was carefully separated from the suture, and the exposed tail was trimmed to prevent further complications.
  • Recommendations
    Surgeons should be aware of the potential for suture-induced bowel obstruction, particularly in myomectomy patients. Preventive strategies, including careful suture management and the use of adhesion barriers, are critical to minimizing this rare but serious complication.

External Medical Source Integration:
As highlighted in the study published by the American College of Obstetrics and Gynecology (ACOG), the complications related to barbed sutures are becoming more recognized in the obstetric and gynecologic community, stressing the need for comprehensive risk management strategies in surgical procedures. Learn more about ACOG’s recommendations.

Further Reading and Resources

Read the full study at https://doi.org/10.29328/journal.cjog.1001160.

Call-to-Action
Explore more studies at https://www.obstetricgynecoljournal.com and join the conversation by sharing your thoughts in the comments below!

Disclaimer: This content is generated using AI assistance and should be reviewed for accuracy and compliance before considering this article and its contents as a reference. Any mishaps or grievances raised due to the reusing of this material will not be handled by the author of this article.

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