Postoperative Nursing Care in Head and Neck Reconstructive Surgery: A Prospective Review

ABSTRACT

Objective: In this study our main goal is to evaluate etiology ofthe patients with large gut obstruction.Method: This prospective study was done in total 50 patientspossessing the symptoms and signs of suspected large bowelobstruction irrespective of age and gender at different surgicalunits of Shaheed Ziaur Rahman Medical college Hospital,Bogra from May 2009 to April 2010.Results: During the result, 46 patients (92%) come withconstipation and 43 patients come with abdominal distension,27 patients (54%) with absent bowel sound, some hadabdominal pain (62%) and nausea & vomiting (58%), 5 patients(10%) complaint per rectal bleeding. Out of 50 patients plain xray abdomen in erect posture including both domes ofdiaphragm and digital rectal examination done in all patientsand found positive in 43 cases (86%) and 3 cases (6%)respectively, on USG whole abdomen7 patients (33.33%)found positive result, in rectoscopy out of 26 patients 5 patients(19.23%) found positive result.Conclusion: From our result, we can conclude that, large gutobstruction is fairly common surgical emergency in developingcountries, where volvulus is the commonest pattern ofpresentation, followed by colonic carcinoma.