What is included in immediate postoperative care following surgery for intestinal malrotation?

Updated: Dec 19, 2018
  • Author: Denis D Bensard, MD, FACS, FAAP; Chief Editor: Carmen Cuffari, MD  more...
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Answer

Immediate postoperative care in patients with intestinal malrotation includes the following:

  • Intravascular volume status should be monitored postoperatively. Patients are typically hypovolemic due to operative blood loss, third spacing of fluids in the edematous bowel, and fluid and electrolyte losses from nasogastric tube decompression. Fluid resuscitation should occur with physiologic salt solution and blood products as needed.

  • Broad-spectrum antibiotics should be continued at the discretion of the surgeon.

  • NG tube decompression should be continued until bowel function returns to normal. Patients with midgut volvulus have a longer time to return of bowel function than those without volvulus; additionally, infants also experience a longer time to return of bowel function than do older children.


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