Yesterday, there was 1 patient admitted with abdominal pain (sakit perut).
He underwent surgery, there was a perforation at his small bowel. His small bowel needs to be resected (potong) and anastomosis back (sambung semula).
The technique as follows.
This is the perforation of the small bowel. This part of the small bowel needs to be resected.
Firstly, artery that supply the small bowel must be ligated.
Ligation of the artery.
Then, the small bowel resected.
Resected small bowels, showing the 2 ends.
Anastomosis: joining back the small bowel in progress.
Anastomosis in progress.
Procedure completed, the small bowel already joined back.
Look simple right??? It took me about 4 hours.
Question: Please choose single best answer.
How long is our small bowel?
A. 1 metre
B. 1 to 2 metres
C. 2 to 4 metres
D. 4 to 6 metres
E. about 6 metres
F. 6 to 8 metres
7 comments:
The small intestine in an adult human measures about 7 meters in length and is approximately 2.5-3 cm in diameter. Although the small intestine is much longer than the large intestine (typically 4-5 times longer), it gets its name from its comparatively smaller diameter. Although a simple tube the length and diameter of the small intestine would have a surface area of only about 0.5m2, the surface complexity of the inner lining of the small intestine increase its surface area by a factor of 500 to approximately 250m2, or roughly the size of a tennis court.
The small intestine is divided into three structural parts:
Duodenum 26 cm (9.8 in) in length
Jejunum 2.5 m (8.2 ft)
Ileum 3.5 m (11.5 ft)
hehehe...
my question:
1. what are the cause of this bowel bocor?
2. what is buasir in english?
3. any connection between buasir n usus bocor?
again excellence answer dr iqmedia!
jawapan:
1. bowel bocor: usually jangkitan kuman..in this case we suspect thyphoid (demam kepialu).
2. piles/ haemorrhoids.
3. i don't think so
i'll nvr 4get seeing bo peristalsis for real, lyke a flower 1....and it juz a begining of surgcl field...many2 more intrstng thngs 2 discover.....yea!!
dr, in this case:-
1. how many prfration there??
3. how do u know to which extent u shuld remove them??
5. wat if there is multiple hole??
very nice pics Joe
great job!
:)
to med_student:
jawapan:
1. only 1 hole only.
3. by practice..pink is healthy...so that is good margin to cut.
5. then..i have to resect the whole bowel lorr
yala ohh....
nvr thought d ans will b as simple as that...........huhu
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