Post-Operative Concerns After Intestinal Intussusception Surgery

Postoperative issues following intussusception surgery?

Hello, I would like to ask a question for a friend.
She is a 21-year-old girl who underwent surgery for intussusception abroad.
After the surgery, her abdomen sometimes feels distended, and she has a sensation of air trapped inside that she cannot expel (although she does pass gas regularly).
The sounds of intestinal movement are quite loud, and after the movement, if she is able to pass gas, her abdomen will deflate; if not, she experiences significant pain that lasts for a long time.
Regarding bowel movements, since the surgery, they have been consistently hard.
On one hand, her incision has not fully healed, making it difficult for her to exert pressure; on the other hand, there has been bleeding from the anal area, resulting in small bowel movements.
Concerning the abdominal distension, she consulted a doctor abroad, but the doctor mentioned that it would gradually improve.
She feels that this is not entirely normal, so I would like to ask if this condition will indeed improve over time.
Are there any precautions she should take, such as dietary considerations, or could there be an issue with how the surgery was performed? Additionally, after the surgery, she has experienced pain and swelling on the left side of her back near the bladder.
Could this be related to the surgery? It is also worth noting that she had her spleen removed when she was younger (in case this has any relevance, I wanted to inform the doctor).
Thank you.

Bi, 30~39 year old female. Ask Date: 2009/05/23

Dr. Hou Yongji reply Surgery

The recovery situation after surgery depends on the surgical method and the patient's condition.
Therefore, it is not possible to determine the diagnosis and treatment solely based on the medical history.
It is recommended to discuss in detail with the attending surgeon for a better understanding.
May God bless you.
~ Dr.
Hou Yong-ji

Reply Date: 2009/05/23

More Info

Post-operative concerns after intestinal intussusception surgery can be quite complex, especially in a young patient like your friend. Intussusception, which is a condition where a part of the intestine telescopes into itself, often requires surgical intervention to correct. After such surgery, patients may experience a variety of symptoms, some of which can be concerning.

Firstly, the sensation of a "bloated" abdomen and the feeling of trapped air can be common after abdominal surgeries. This is often due to a combination of factors including postoperative ileus, which is a temporary cessation of bowel activity, and the accumulation of gas. The fact that your friend can still pass gas is a positive sign, indicating that some bowel function is returning. However, if she is experiencing significant pain and discomfort, it is essential to monitor this closely. Pain that persists or worsens could indicate complications such as an obstruction or infection.

Regarding her bowel movements, it is not uncommon for patients to experience constipation after surgery, especially if they are hesitant to strain due to pain or if they are on pain medications that can cause constipation. The presence of hard stools and difficulty in passing them can lead to further complications, including anal fissures, which could explain the bleeding from the rectum. It is crucial for her to maintain adequate hydration and consider a diet rich in fiber, if her doctor approves. Foods such as fruits, vegetables, and whole grains can help soften the stool. Additionally, stool softeners or mild laxatives may be recommended by her healthcare provider to ease the passage of stools.

As for the abdominal distension, it is essential to ensure that her bowel is functioning properly. If the distension does not improve or if she experiences worsening pain, it would be prudent to seek further medical evaluation. Sometimes, imaging studies such as an abdominal ultrasound or CT scan may be necessary to rule out any complications from the surgery, such as an obstruction or abscess.

The pain in her left flank, particularly if it is new or worsening, should also be evaluated. This could be related to the surgical procedure, especially if there was manipulation of the surrounding structures during surgery. It could also be related to muscle strain or other post-operative changes. If the pain is persistent, it is advisable for her to consult with her surgeon or a healthcare provider to ensure that there are no underlying issues.

In summary, while some post-operative symptoms can be expected and may resolve over time, it is essential for your friend to communicate any concerning symptoms to her healthcare provider. Monitoring her bowel movements, managing pain, and ensuring proper hydration and nutrition are key aspects of her recovery. If her symptoms do not improve or if new symptoms arise, further evaluation may be necessary to ensure her recovery is on track.

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