Ramona Guerne has been admitted through the emergency department for severe abdominal pain,distended abdomen,and fever.The surgery service has been consulted and has scheduled her for exploratory surgery.Ramona has undergone two abdominal surgeries in the past for "female problems" and states that she has a tendency to form keloids.A small bowel obstruction is suspected.Postoperative ileus is a common complication of open abdominal surgery.Select the procedure that is least likely to promote postoperative ileus formation in this patient.

Question

Quizplus · Accepted Answer

A laparoscopic approach combined with sharp-dissection lysis of adhesions and release of bowel torsion (twisting)does not include a bowel resection and will not cause excessive manipulation of the bowel.This patient may possess risk factors for development of postoperative (paralytic)ileus attributable to two past surgeries,keloid history,and possible bowel obstruction.

Ramona Guerne Has Been Admitted Through the Emergency Department for Severe